Provider Demographics
NPI:1477599223
Name:HUNTSVILLE PULMONARY MEDICINE
Entity type:Organization
Organization Name:HUNTSVILLE PULMONARY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:P
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-533-1528
Mailing Address - Street 1:401 LOWELL DR SE
Mailing Address - Street 2:SUITE 19
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3748
Mailing Address - Country:US
Mailing Address - Phone:256-533-1528
Mailing Address - Fax:
Practice Address - Street 1:401 LOWELL DR SE
Practice Address - Street 2:SUITE 19
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3748
Practice Address - Country:US
Practice Address - Phone:256-533-1528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1417939414OtherDR. KEITH YOUNG INV NPI
1417939414OtherDR. KEITH YOUNG INV NPI