Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 0103000923 | VA |
NPI | 1063512515 |
---|---|
Provider Name | Dr. Yevgeny Kats |
First Address | Winchester, VA 22604-2246 |
Second Address | Front Royal, VA 22630-3407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 31/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2700439 | UNITED (01) | VA |
9302000 | (05) | VA |
9303120 | (05) | VA |
U50588 | (02) | VA |