Individual
YOTIN KEONIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1351 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3194
(712) 464-7412
Mailing address
1351 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3194
(712) 464-7412
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19501
IA
Other
Enumeration date
12/12/2005
Last updated
07/09/2007
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