Individual
DR. KENNETH ERIC YAGODICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14020 OLD STATE RD STE C100, EVANSVILLE, IN 47725-1171
(812) 469-4765
Mailing address
14020 OLD STATE RD STE C100, EVANSVILLE, IN 47725-1171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037698A
IN
Other
Enumeration date
02/10/2007
Last updated
05/18/2022
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