Provider Demographics
NPI:1902103039
Name:YOUNG, GINGER (CPM)
Entity Type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8233 W MEADOW PASS
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1648
Mailing Address - Country:US
Mailing Address - Phone:316-993-9502
Mailing Address - Fax:316-260-4222
Practice Address - Street 1:8233 W MEADOW PASS
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1648
Practice Address - Country:US
Practice Address - Phone:316-993-9502
Practice Address - Fax:316-260-4222
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175M00000XOther Service ProvidersMidwife, Lay
No374J00000XNursing Service Related ProvidersDoula