Yeager, Kenneth Paul

Yeager, Kenneth Paul is an individual health care provider with primary practice located at 2100 N Dr Martin Luther King Jr Blvd , Clovis NM 88101-9412. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Yeager, Kenneth Paul can be contacted via phone (573) 686-5550.

Contact Information

Primary practice address
2100 N Dr Martin Luther King Jr Blvd Clovis NM 88101-9412
Phone: (573) 686-5550
Fax: (573) 686-2139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2027442 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R61693 New Mexico

Profile Details

NPI number 1457353989
LBN Legal business name Yeager, Kenneth Paul
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Apr 4th, 2008 - about 16 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 1457353989 NPPES
New Mexico MEDICAID 28405251
New Mexico Other P00431700
New Mexico Other 59059908
New Mexico Other G1108

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