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Individual
CHRISTY M. YATES
Active
Individual
CHRISTY M. YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002509
KY
363L00000X
Nurse Practitioner
71001021A
IN
363LF0000X
Family Nurse Practitioner
3002509
KY
363LF0000X
Family Nurse Practitioner
71001021A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202844
ANTHEM
—
01
—
1126977
PASSPORT PROIVDER NUMBER
KY
05
—
200314390
—
IN
01
—
500017800
RAILROAD MEDICARE
—
05
—
78004082
—
KY
Enumeration date
07/26/2005
Last updated
12/08/2014
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