Individual
ANDREA E. YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Mailing address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
38721
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200418720
—
IN
01
—
3580926000
PASSPORT ADVANTAGE
KY
01
—
50021573
PASSPORT
KY
05
—
64106313
—
KY
Enumeration date
07/12/2006
Last updated
09/24/2009
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