Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 2021015390 | MO |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | OS020601 | PA |
Y | 2081S0010X | Sports Medicine | 2021015390 | MO |
Y | 213ES0000X | Sports Medicine | 2021015390 | MO |
NPI | 1477916245 |
---|---|
Provider Name | Yekaterina Temperato |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2016 |
Last Update Date | 05/10/2021 |