Healthcare Provider Details

I. General information

NPI: 1922986389
Provider Name (Legal Business Name): MR. KEVIN DOUGLAS YEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 COURT ST STE 8
PLYMOUTH MA
02360-8734
US

IV. Provider business mailing address

32 COURT ST STE 8
PLYMOUTH MA
02360-8734
US

V. Phone/Fax

Practice location:
  • Phone: 857-275-7001
  • Fax: 508-830-0474
Mailing address:
  • Phone: 857-275-7001
  • Fax: 508-830-0474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: