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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770535262 | NPPES |
Wisconsin | MEDICAID | 32574300 | |
Wisconsin | Other | 005000215E |
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