Individual
DR. KEVIN ANDREW YARYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
522 N EASTERN AVE, CONNERSVILLE, IN 47331
(765) 825-4127
(765) 827-6577
Mailing address
P O BOX 427, CONNERSVILLE, IN 47331
(765) 825-4127
(765) 827-6577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003524A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260070
MEDICARE PTAN
IN
Enumeration date
06/24/2008
Last updated
04/11/2014
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