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Individual

DR. JOHN D YEAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4320 WORNALL RD, SUITE 336, KANSAS CITY, MO 64111-5941
(816) 932-6100
(816) 461-6586
Mailing address
901 E 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131-4517
(816) 502-7000
(816) 932-7957

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
R9E95
MO
207VM0101X
Maternal & Fetal Medicine Physician
Primary
R9E95
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100202210G
KS
05
202155438
MO
05
2051877204
KS
01
P00381054
RAILROAD MEDICARE
MO
Enumeration date
07/20/2005
Last updated
11/22/2016
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