Individual
KEITH O YEATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
700 CHILDREN'S DR, NATIONWIDE CHILDREN'S HOSPITAL, COLUMBUS, OH 43205
(614) 722-4700
Mailing address
700 CHILDREN'S DR, NATIONWIDE CHILDREN'S HOSPITAL, COLUMBUS, OH 43205
(614) 722-4700
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0770849
—
OH
Enumeration date
07/19/2006
Last updated
09/24/2012
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