Provider Demographics
NPI:1194772152
Name:YOUNG, DANA ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:ALLEN
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2214 CANTERBURY DR STE 202
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2375
Mailing Address - Country:US
Mailing Address - Phone:785-623-2312
Mailing Address - Fax:785-623-2323
Practice Address - Street 1:2214 CANTERBURY DR STE 202
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2375
Practice Address - Country:US
Practice Address - Phone:785-623-2312
Practice Address - Fax:785-623-2323
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77468207R00000X
KS0426481207R00000X
NH15998208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2581138800Medicaid
FL49627XMedicare ID - Type Unspecified
FL2581138800Medicaid