Provider Demographics
NPI:1730386749
Name:YOUNG, KAREN J (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:J
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:75 NORTHPORT AVE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6000
Mailing Address - Country:US
Mailing Address - Phone:207-338-3995
Mailing Address - Fax:207-338-2831
Practice Address - Street 1:220 BLUFF RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:ME
Practice Address - Zip Code:04849-4206
Practice Address - Country:US
Practice Address - Phone:207-338-2199
Practice Address - Fax:207-338-3178
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME010726207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEB74224Medicare UPIN
MEMM0061Medicare ID - Type Unspecified