# YULIA VAKSMAN DO AN OPERATING DIVISION OF PROVIDENCE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427269182
- **Authorized official:** MICHAEL A. DORSEY (PRESIDENT CEO)
- **Authorized official phone:** (913) 596-4000

## Contact information

- **Practice address:** 8919 PARALLEL PKWY, STE 580, KANSAS CITY, KS 66112-1636
- **Practice address phone:** (913) 788-9797
- **Practice address fax:** (913) 788-5263
- **Mailing address:** PO BOX 12488, KANSAS CITY, KS 66112-0488
- **Mailing address phone:** (913) 825-6512
- **Mailing address fax:** (913) 328-7011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020