Individual
DR. ELLEN M YETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12300 METCALF AVE, OVERLAND PARK, KS 66213-1324
(913) 317-7000
Mailing address
8000 W 110TH ST, STE 150, OVERLAND PARK, KS 66210-2338
(913) 599-6777
(913) 599-3955
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-29534
KS
2085R0202X
Diagnostic Radiology Physician
2001029906
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100410110B
—
KS
05
—
100410110D
—
KS
01
—
1902873441
BCBS KC
—
05
—
205734726
—
MO
Enumeration date
03/03/2006
Last updated
03/28/2013
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