Individual
DR. KYLE W YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 W 62ND ST, INDIANAPOLIS, IN 46260-4716
(317) 919-9799
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01068799A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201107140
—
IN
Enumeration date
05/27/2008
Last updated
05/27/2021
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