Provider Demographics
NPI:1801124193
Name:YOUNGS, KATE SUZANNE (DC)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:SUZANNE
Last Name:YOUNGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12219 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2819
Mailing Address - Country:US
Mailing Address - Phone:316-686-5900
Mailing Address - Fax:316-686-0417
Practice Address - Street 1:12219 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2819
Practice Address - Country:US
Practice Address - Phone:316-686-5900
Practice Address - Fax:316-686-0417
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor