MS. KIM KORY YOUNG M.HTECHICIAN/L.L.MSW
NPI 1083160790
Technician, Other in Pontiac, MI

Active since September 01, 2016
116 N JOHNSON ST, PONTIAC, MI 48341(248) 613-4098(248) 622-4081 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2020, Sep 1, 2016 (2 updates tracked since 2016).

About Ms. Kim Kory Young M.htechician/l.l.msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIM KORY YOUNG M.HTECHICIAN/L.L.MSW (NPI 1083160790) is an individual technician, other provider in Pontiac, Michigan, licensed in Michigan (L148347) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1083160790
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameMS. KIM KORY YOUNGCredential: M.HTECHICIAN/L.L.MSW
Location Address116 N JOHNSON STPontiac, MI 48341-1330
Mailing Address116 N Johnson StPontiac, MI 48341 · (248) 613-4098
Fax(248) 622-4081
Sole ProprietorNo
Enumeration DateSeptember 1, 2016
Last NPPES UpdateApril 10, 20202 updates tracked since enumeration
NPPES CertifiedApril 10, 2020
NPI 1083160790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
License Licensed in MI · L148347
Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1-04781 (MI)
Also ListedPeer SpecialistTaxonomy 175T00000X
116 N JOHNSON ST, Pontiac, MI 48341

Other Names 1

Former Name (1)Kim K Young

Other Identifiers 1

OtherL148347MI · Department Of Licensing And Regulatory Affairs Bureau Of Health Care Services

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility (Assisted Living, Mental Illness)
116 N JOHNSON ST
PONTIAC, MI 48341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Young's NPI number?

The NPI number for Kim Young is 1083160790. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Kim K Young.

Where is Kim Young located?

Kim Young practices at 116 N Johnson St, Pontiac, MI 48341. The listed phone number is (248) 613-4098.

What is Kim Young's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Kim Young was last updated on April 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.