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DR. KENNETH YEN M.D. NPI 1770535262


NPI Information

NPI: 1770535262
Provider Name: DR. KENNETH YEN, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
1935 MEDICAL DISTRICT DRIVE
DALLAS, TX
ZIP 75235
Phone: (214) 456-6116
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DR. Kenneth Yen, M.D. is a pediatric emergency medicine pediatrics in Dallas, TX. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Kenneth Yen, M.D. NPI is 1770535262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1935 MEDICAL DISTRICT DRIVE
DALLAS, TX
ZIP 75235
Phone: (214) 456-6116
Fax: (214) 456-8132

The NPI 1770535262 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 12/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0204XPediatricsPediatric Emergency Medicine41200WISCONSINNo
22080P0204XPediatricsPediatric Emergency Medicine41200-020WISCONSINNo
32080P0204XPediatricsPediatric Emergency MedicineP0944TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005000215EOTHERHUMANA
2G94095MEDICARE UPINWISCONSIN
3G94095MEDICARE UPIN
432574300MEDICAIDWISCONSIN
50005K73601MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.