Individual
YEAI ROAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-8580
(316) 962-8581
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-8580
(316) 962-8581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-19621
KS
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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