Healthcare Provider Details

I. General information

NPI: 1578776027
Provider Name (Legal Business Name): KIMBERLY ANNE YEUNG-YUE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY ANNE YUE MD

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 10/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 N 92ND ST SUITE 205
SCOTTSDALE AZ
85258-4534
US

IV. Provider business mailing address

10200 N 92ND ST SUITE #205
SCOTTSDALE AZ
85258-4534
US

V. Phone/Fax

Practice location:
  • Phone: 602-494-1817
  • Fax: 480-614-2429
Mailing address:
  • Phone: 602-494-1817
  • Fax: 480-614-2429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35998
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: