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General NPI Number Information
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NPI Number | 1831842152
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Entity Type | Individual
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Provider Name | KENNY RAY YANCEY APRN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 2157 S HIGHWAY 27
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City | STEARNS
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State | KY
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Zip | 42647-6297
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Country | US
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Telephone | 606-376-9700
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Fax | 606-376-9703
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | STEARNS
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State | KY
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Zip | 42647-0068
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Country | US
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Telephone | 606-376-9700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3017108
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3017108
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License Number State | KY
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