Healthcare Provider Details

I. General information

NPI: 1609553197
Provider Name (Legal Business Name): KAITLYN EMILY YONG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OXFORD VALLEY RD STE 1000
YARDLEY PA
19067-7716
US

IV. Provider business mailing address

301 OXFORD VALLEY RD STE 1000
YARDLEY PA
19067-7716
US

V. Phone/Fax

Practice location:
  • Phone: 267-503-0130
  • Fax:
Mailing address:
  • Phone: 267-503-0130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS025578
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: