Provider Demographics
NPI:1710794136
Name:YOUNG, DUKE (RN)
Entity type:Individual
Prefix:MR
First Name:DUKE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25211 COUNTY ROAD 24
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-9719
Mailing Address - Country:US
Mailing Address - Phone:740-610-8802
Mailing Address - Fax:330-615-1504
Practice Address - Street 1:25211 COUNTY ROAD 24
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-9719
Practice Address - Country:US
Practice Address - Phone:740-610-8802
Practice Address - Fax:330-615-1504
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.475503163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse