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Individual
DR. KENNETH YEN
Active
Individual
DR. KENNETH YEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
41200
WI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
41200-020
WI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
P0944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005000215E
HUMANA
—
05
—
32574300
—
WI
Enumeration date
05/16/2006
Last updated
12/12/2011
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