Individual
MS. KIM MICHELLE YEAROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
9727 SHANNON WOODS, WICHITA, KS 67226-4102
(316) 219-0253
(316) 219-0254
Mailing address
9727 SHANNON WOODS, WICHITA, KS 67226-4102
(316) 219-0253
(316) 219-0254
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11-01000
KS
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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