Yen, Kenneth

Yen, Kenneth is an individual health care provider with primary practice located at 1935 Medical District Drive , Dallas TX 75235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Yen, Kenneth can be contacted via phone (214) 456-6116.

Contact Information

Primary practice address
1935 Medical District Drive Dallas TX 75235
Phone: (214) 456-6116
Fax: (214) 456-8132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 41200 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X P0944 Texas
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 41200-020 Wisconsin

Profile Details

NPI number 1770535262
LBN Legal business name Yen, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 12th, 2011 - about 14 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 1770535262 NPPES
Wisconsin MEDICAID 32574300
Wisconsin Other 005000215E

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