Individual
DR. KIM B YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5939 HARRY HINES BLVD FL 4, UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, DALLAS, TX 75390-9191
(214) 648-3300
(214) 648-5553
Mailing address
PO BOX 845347, UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, DALLAS, TX 75284-5347
(214) 648-3300
(214) 648-5553
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
41663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186663401
—
TX
Enumeration date
05/16/2006
Last updated
08/26/2016
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