Provider Demographics
NPI:1801147343
Name:YOUNG, DENISE MARGARET (OTR)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MARGARET
Last Name:YOUNG
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:MARGARET
Other - Last Name:HOGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:9301 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2430
Mailing Address - Country:US
Mailing Address - Phone:816-421-5848
Mailing Address - Fax:
Practice Address - Street 1:1500 MEADOW LAKE PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-1600
Practice Address - Country:US
Practice Address - Phone:816-531-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00596174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist