# KENNETH C.Y. YU, MD, PA

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

## Provider details

- **NPI number:** 1629445820
- **Authorized official:** KENNETH YU MD (PRESIDENT)
- **Authorized official phone:** (866) 574-1719

## Contact information

- **Practice address:** 19288 STONE OAK PKWY STE A, SAN ANTONIO, TX 78258-3222
- **Practice address phone:** (866) 574-1719
- **Mailing address:** 19288 STONE OAK PKWY STE A, SAN ANTONIO, TX 78258-3222
- **Mailing address phone:** (866) 574-1719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | P2563 | TX | Yes |

## Other

- **Enumeration date:** 08/24/2015
- **Last updated:** 08/24/2015