Elyssa Rubertino Yantis

NPI #1114286184 in Louisville, Kentucky

Provider Information

NPI Number: 1114286184
Entity Type: Individual
Name: Elyssa Rubertino Yantis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: May 11, 2012
Last Updated: Oct 11, 2020

Practice Location

Address: 4420 DIXIE HWY STE 126
City: Louisville
State: Kentucky
ZIP Code: 40216-2994
Phone: (502) 810-3780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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