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Individual

KELLY L YEONG

Active
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Individual

KELLY L YEONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024147154
VA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0024147154
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770764383
VA
Enumeration date
11/26/2007
Last updated
04/06/2018
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