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Individual

KERRY J YANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1410
(225) 374-1616
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
25766
MS
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
H8531
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107492
SUPERIOR PIN
TX
01
1159787
UHC PIN
TX
01
127409100
FIRSTCARE PIN
TX
01
1669442042
GROUP NPI NUMBER
01
4572510
AETNA PIN
TX
01
806172
FIRSTHEALTH PIN
TX
01
8731B7
BCBSTX IND PIN
TX
Enumeration date
10/12/2006
Last updated
04/12/2021
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