Individual
DR. TINA T YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9537 US HIGHWAY 42, PROSPECT, KY 40059-9301
(502) 713-1332
(502) 713-1218
Mailing address
9537 US HIGHWAY 42, PROSPECT, KY 40059-9301
(502) 713-1332
(502) 713-1218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35885
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295758514
NPI
KY
05
—
64018021
—
KY
Enumeration date
07/26/2006
Last updated
04/20/2020
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