Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD454417 | PA |
NPI | 1073876389 |
---|---|
Provider Name | Dr. Kesi Chen Yang |
First Address | Philadelphia, PA 19107 |
Second Address | Philadelphia, PA 19104-3364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2012 |
Last Update Date | 16/07/2019 |