Individual
KATELYN DENISE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 US-25W, UNIT #70, NEWPORT, TN 37821
(423) 720-9393
Mailing address
3373 OWL HOLE GAP RD, RUTLEDGE, TN 37861-4237
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3893
TN
Other
Enumeration date
04/04/2024
Last updated
07/31/2024
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