Provider Demographics
NPI:1780567867
Name:YOUNG-ODOR, KENEY
Entity type:Individual
Prefix:
First Name:KENEY
Middle Name:
Last Name:YOUNG-ODOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 COMMERCE PARK DR STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7431
Mailing Address - Country:US
Mailing Address - Phone:713-636-3889
Mailing Address - Fax:832-649-4403
Practice Address - Street 1:8700 COMMERCE PARK DR STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7431
Practice Address - Country:US
Practice Address - Phone:713-636-3889
Practice Address - Fax:832-649-4403
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant