Individual
YAMIL R. PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 285-4507
(620) 285-4509
Mailing address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 285-4507
(620) 285-4509
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P48151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P48151
—
NY
Enumeration date
06/05/2007
Last updated
02/03/2011
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