Individual
DR. KENT ESTES YINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 CONCOURSE BLVD, #1, SANTA ROSA, CA 95403-8210
(707) 544-3400
(707) 544-0137
Mailing address
208 CONCOURSE BLVD, #1, SANTA ROSA, CA 95403-8210
(707) 544-3400
(707) 544-0137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A555050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A55505
—
CA
Enumeration date
09/25/2006
Last updated
06/30/2020
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