Younger, Stacy Dawn
Younger, Stacy Dawn is an individual health care provider with primary practice located at 12140 Nall Ave Suite 230, Overland Park KS 66209-2503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Younger, Stacy Dawn can be contacted via phone (913) 661-9434.Contact Information
Primary practice address
12140 Nall Ave Suite 230
Overland Park KS 66209-2503
Phone: (913) 661-9434
Fax: (913) 661-4688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0426689 | Kansas |
Profile Details
| NPI number | 1043212210 |
|---|---|
| LBN Legal business name | Younger, Stacy Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jan 27th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043212210 | NPPES |
| Kansas | MEDICAID | 100446230A | |
| Kansas | MEDICAID | 100446230B | |
| Kansas | MEDICAID | 207860008 |
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