Pena, Yamil R.

Pena, Yamil R. is an individual health care provider with primary practice located at 1301 Ks Hwy 264 , Larned KS 67550-5353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pena, Yamil R. can be contacted via phone (620) 285-4507.

Contact Information

Primary practice address
1301 Ks Hwy 264 Larned KS 67550-5353
Fax: (620) 285-4509
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X P48151 New York

Profile Details

NPI number 1174725766
LBN Legal business name Pena, Yamil R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Feb 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174725766 NPPES
New York MEDICAID P48151

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