Individual
DR. KEVIN YIMING YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 E 102ND ST FL 8, NEW YORK, NY 10029-5204
(212) 241-1159
(332) 777-0566
Mailing address
1365B CLIFTON RD NE STE B4500, ATLANTA, GA 30322-1013
(404) 778-5360
(404) 778-4849
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
333715
NY
2084N0400X
Neurology Physician
333715
NY
Other
Enumeration date
04/07/2020
Last updated
08/27/2025
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