Dr Kenneth Ray Young, MD is a
Anesthesiology physician based in Makanda, Illinois. Dr Kenneth Ray Young is licensed to practice in Missouri (license number 36417) and his current practice location is 236 Pump Station Rd, Makanda, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 303-5643.
NPI number for Dr Kenneth Ray Young is 1558252064 and his current mailing address is 236 Pump Station Rd, Makanda, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558252064.
Physician's Profile
Full Name | Dr Kenneth Ray Young |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 236 Pump Station Rd, Makanda, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558252064
- Provider Enumeration Date: 07/12/2025
- Last Update Date: 07/12/2025
Medical Identifiers
Medical identifiers for Dr Kenneth Ray Young such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558252064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 36417 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Ray Young is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth Ray Young, MD 236 Pump Station Rd, Makanda, IL 62958-2002 Ph: (618) 303-5643 | Dr Kenneth Ray Young, MD 236 Pump Station Rd, Makanda, IL 62958-2002 Ph: (618) 303-5643 |
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