Individual
JENNIFER K YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 KENDALL ST, DEPARTMENT OF UROLOGY, WORCESTER, MA 01605-2726
(508) 856-5821
(508) 856-3137
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
254176
MA
208800000X
Urology Physician
LP00696
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095125A
—
MA
Enumeration date
04/24/2007
Last updated
03/12/2026
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