Individual
DR. KYLE R YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11960 QUIVIRA RD, SUITE 200, OVERLAND PARK, KS 66213-2222
(913) 402-7444
(913) 402-7450
Mailing address
1016 S LINDENWOOD DR, OLATHE, KS 66062-2334
(913) 908-1302
(913) 402-7450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104967
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35511019
BC/BS PROVIDER NO.
KS
01
—
9408529
PHCS PROVIDER
KS
Enumeration date
07/03/2006
Last updated
07/08/2007
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