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NPI Code Detail

MEDICARE: KAREN YATES M.D.

MEDICARE: KAREN YATES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistR6C64MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18134OTHERMOBCBS MO PROVIDER #
2113620OTHERMOHEALTHLINK MO PROVIDER #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891791059
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN YATES M.D.
Provider Business Mailing Address
First Line : 1413 N MOUNT AUBURN RD
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-2171
Country : US
Telephone Number : 573-335-5120
Fax Number : 573-335-5119
Provider Business Practice Location Address
First Line : 1413 N MOUNT AUBURN RD
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-2171
Country : US
Telephone Number : 573-335-5120
Fax Number : 573-335-5119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 02/02/2011

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