Individual
KENNETH J. YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W MAGNOLIA AVE, SUITE 100, FORT WORTH, TX 76104-8517
(817) 870-7300
Mailing address
6445 HARRIS PKWY, SUITE 100, FORT WORTH, TX 76132-4138
(817) 870-7300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L6725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165495601
—
TX
Enumeration date
07/04/2006
Last updated
10/15/2008
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