Provider Demographics
NPI:1689657462
Name:YOUNG, KIMBERLEE PIPPENGER (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLEE
Middle Name:PIPPENGER
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2216
Mailing Address - Country:US
Mailing Address - Phone:717-245-3187
Mailing Address - Fax:717-245-3880
Practice Address - Street 1:450 GIBNER RD
Practice Address - Street 2:DUNHAM US ARMY HEALTH CLINIC
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-5003
Practice Address - Country:US
Practice Address - Phone:717-245-3187
Practice Address - Fax:717-245-3880
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062670L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine