Individual
KEVIN TIANBER YIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2223 TECHNOLOGY DR STE 35, O FALLON, MO 63368-7272
(636) 561-5999
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(369) 787-9026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025011705
MO
Other
Enumeration date
05/17/2022
Last updated
08/06/2025
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