Provider Demographics
NPI:1164643516
Name:YOUNG, ANN KURENE (RD)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:KURENE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
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Mailing Address - Street 1:14124 W DARTMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-5440
Mailing Address - Country:US
Mailing Address - Phone:303-475-2102
Mailing Address - Fax:
Practice Address - Street 1:1780 S BELLAIRE ST STE 515
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4326
Practice Address - Country:US
Practice Address - Phone:303-759-5316
Practice Address - Fax:303-759-5320
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
862855OtherREGISTERED DIETITIAN