Provider Demographics
NPI:1679675599
Name:YOUNG, BEVERLY KAY (MD)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:KAY
Last Name:YOUNG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8495 CRATER LAKE HWY
Mailing Address - Street 2:VA SOUTHERN OREGON REHABILITATION CENTER AND CLINICS
Mailing Address - City:WHITE CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97503
Mailing Address - Country:US
Mailing Address - Phone:541-826-2111
Mailing Address - Fax:541-830-7427
Practice Address - Street 1:8495 CRATER LAKE HWY
Practice Address - Street 2:VA SOUTHERN OREGON REHABILITATION CENTER AND CLINICS
Practice Address - City:WHITE CITY
Practice Address - State:OR
Practice Address - Zip Code:97503
Practice Address - Country:US
Practice Address - Phone:541-826-2111
Practice Address - Fax:541-830-7427
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OR190192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry