Individual
SETH YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 JOEL DRIVE, FORT CAMPBELL, KY 42223
(270) 798-8400
(270) 798-8224
Mailing address
650 JOEL DRIVE, FORT CAMPBELL, KY 42223
(270) 798-8400
(270) 798-8224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
09/08/2023
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