Individual
DR. KEUN YUNG YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101037318
VA
207L00000X
Anesthesiology Physician
Primary
01035577A
IN
207L00000X
Anesthesiology Physician
20496
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100116230A
MEDICAID
IN
01
—
M400075712
MEDICARE PTAN
IN
01
—
P01081491
MEDICARE RR PTAN
IN
Enumeration date
08/28/2006
Last updated
05/12/2016
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