Healthcare Provider Details

I. General information

NPI: 1891483038
Provider Name (Legal Business Name): LANDON PAUL YOUNGER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 S FRANKLIN AVE
COLBY KS
67701-3758
US

IV. Provider business mailing address

1525 S FRANKLIN AVE
COLBY KS
67701-3758
US

V. Phone/Fax

Practice location:
  • Phone: 785-462-7511
  • Fax:
Mailing address:
  • Phone: 785-462-7511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1891483038
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: