Individual
KATELYN ANN YACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 E MARKET ST, LOUISVILLE, KY 40206-1874
(502) 629-3039
(502) 629-3096
Mailing address
1050 E MARKET ST, LOUISVILLE, KY 40206-1874
(502) 629-3039
(502) 629-3096
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
50795
KY
208000000X
Pediatrics Physician
50795
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
50795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300086148
—
IN
05
—
7100214450
—
KY
01
—
K000793
MEDICARE
KY
Enumeration date
03/30/2011
Last updated
01/16/2026
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