Individual
STACY DAWN YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12140 NALL AVE, SUITE 230, OVERLAND PARK, KS 66209-2503
(913) 661-9434
(913) 661-4688
Mailing address
12140 NALL AVE, SUITE 230, OVERLAND PARK, KS 66209-2503
(913) 661-9434
(913) 661-4688
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0426689
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100446230A
—
KS
05
—
100446230B
—
KS
05
—
207860008
—
MO
Enumeration date
06/01/2005
Last updated
01/27/2022
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