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Individual
COLLEEN KELLEY YOON
Active
Individual
COLLEEN KELLEY YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2010035961
MO
363A00000X
Physician Assistant
Primary
1750
NE
363A00000X
Physician Assistant
2010035961
MO
363A00000X
Physician Assistant
2018015950
MO
Other
Enumeration date
11/04/2010
Last updated
04/22/2020
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