Individual provider · Type 1 NPI

Kelly Thomas Young, NP

Nurse Practitioner · Burnsville, MN

NPI number 1154732360 Active

Practice location

14000 Fairview Dr
Burnsville, MN 55337-4571

Fax (952) 993-8516

Mailing address

8170 33rd Ave S, Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 1580 Beam Ave, Maplewood, MN 55109-1127 · (651) 255-8480

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR 168856-0 (MN)
Family Nurse Practitioner 363LF0000XCNP2326 (MN)
Nurse Practitioner Primary 363L00000X2326 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154732360

Kelly Thomas Young, NP's National Provider Identifier is 1154732360, issued on May 12, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Burnsville, MN. The record was last updated on Aug 27, 2021.