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Organization

H. KELL YANG MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY KELL YANG M.D. (OWNER)
(573) 441-7070
Entity
Organization

Contact information

Practice address
201 W BROADWAY, BLDG. 4, COLUMBIA, MO 65203-3842
(573) 441-7070
(573) 441-2288
Mailing address
201 W BROADWAY, BLDG. 4, COLUMBIA, MO 65203-3842
(573) 441-7070
(573) 441-2288

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MDR7A95
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000094534
PTAN
MO
05
201274727
MO
Enumeration date
03/09/2010
Last updated
06/29/2010
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