Yates, Karen

Yates, Karen is an sole proprietor health care provider with primary practice located at 1413 N Mount Auburn Rd , Cape Girardeau MO 63701-2171. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Yates, Karen can be contacted via phone (573) 335-5120.

Contact Information

Primary practice address
1413 N Mount Auburn Rd Cape Girardeau MO 63701-2171
Fax: (573) 335-5119
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R6C64 Missouri

Profile Details

NPI number 1891791059
LBN Legal business name Yates, Karen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Feb 2nd, 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 1891791059 NPPES
Missouri Other 8134 BCBS MO PROVIDER #
Missouri Other 113620 BCBS MO PROVIDER #
Missouri MEDICAID 202112819 BCBS MO PROVIDER #

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