Healthcare Provider Details

I. General information

NPI: 1831301381
Provider Name (Legal Business Name): KEVIN YIEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 EIGER DR
LINCOLN NE
68516-6537
US

IV. Provider business mailing address

4004 PIONEER WOODS DR
LINCOLN NE
68506-7548
US

V. Phone/Fax

Practice location:
  • Phone: 402-904-7135
  • Fax: 402-904-7175
Mailing address:
  • Phone: 402-484-4900
  • Fax: 402-484-6456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA91182
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number24867
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: