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Individual

KATHLEEN YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37492
KY
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
37492
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080190582
RAILROAD MEDICARE
KY
05
2312634
OH
05
64060015
KY
01
P00839863
RAILROAD MEDICARE
KY
Enumeration date
05/19/2006
Last updated
09/26/2024
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