Individual provider · Type 1 NPI

Kenneth Lee Young Ii

Student in an Organized Health Care Education/Training Program · Roanoke, VA

NPI number 1245039288 Active

Practice location

2 Riverside Cir
Roanoke, VA 24016-4950

Mailing address

408 King George Ave SW
Roanoke, VA 24016-4818

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245039288

Kenneth Lee Young Ii's National Provider Identifier is 1245039288, issued on Mar 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roanoke, VA. The record was last updated on Mar 12, 2025.