Provider Demographics
NPI:1336683424
Name:YOUNGER, KRISTEN JEAN-MARIE (RRT)
Entity Type:Individual
Prefix:MISS
First Name:KRISTEN
Middle Name:JEAN-MARIE
Last Name:YOUNGER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:TN
Mailing Address - Zip Code:37650-3043
Mailing Address - Country:US
Mailing Address - Phone:423-388-5310
Mailing Address - Fax:
Practice Address - Street 1:191 CREEK RD
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:TN
Practice Address - Zip Code:37650-3043
Practice Address - Country:US
Practice Address - Phone:423-388-5310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRRT00000066782279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care