Healthcare Provider Details

I. General information

NPI: 1972709111
Provider Name (Legal Business Name): SHARON W YEE D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W WEA ST
PAOLA KS
66071-1462
US

IV. Provider business mailing address

6013 W 128TH ST
OVERLAND PARK KS
66209-3694
US

V. Phone/Fax

Practice location:
  • Phone: 913-557-3333
  • Fax: 913-557-9191
Mailing address:
  • Phone: 913-685-1415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number6884
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: