Healthcare Provider Details

I. General information

NPI: 1629080403
Provider Name (Legal Business Name): KRISTIN F. YONKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 02/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 THIMBLE SHOALS BLVD SUITE B
NEWPORT NEWS VA
23606-2962
US

IV. Provider business mailing address

714 THIMBLE SHOALS BLVD SUITE B
NEWPORT NEWS VA
23606-2962
US

V. Phone/Fax

Practice location:
  • Phone: 757-595-9905
  • Fax: 757-595-5377
Mailing address:
  • Phone: 757-595-9905
  • Fax: 757-595-5377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101237453
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: