Individual
KENNETH EDWARD YAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8064 STEAMBOAT CT, SUMMERSET, SD 57769-6213
(209) 601-0780
Mailing address
8064 STEAMBOAT CT, SUMMERSET, SD 57769-6213
(209) 601-0780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1363
SD
363A00000X
Physician Assistant
7377
AZ
Other
Enumeration date
04/03/2019
Last updated
06/29/2022
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