SearchOhio376K00000X

Robert Young

NPI 1619317906 · on the registry since 2013 · sole proprietor

Practice

Address
6805 Mayfield Rd
Apt 405b
Mayfield Hts, OH 44124
Phone
(216) 491-8620
Organisation at this address
K A G Design
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio