Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 0426689 | KS |
NPI | 1043212210 |
---|---|
Provider Name | Stacy Dawn Younger |
First Address | Overland Park, KS 66209-2503 |
Second Address | Overland Park, KS 66209-2503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100446230A | (05) | KS |
100446230B | (05) | KS |
207860008 | (05) | MO |