Healthcare Provider Details

I. General information

NPI: 1770239246
Provider Name (Legal Business Name): KATLYN YUNKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 ARBOR DR
SOUTH SIOUX CITY NE
68776-2421
US

IV. Provider business mailing address

PO BOX 355
SOUTH SIOUX CITY NE
68776-0355
US

V. Phone/Fax

Practice location:
  • Phone: 402-494-3337
  • Fax:
Mailing address:
  • Phone: 402-494-3337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number548
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: