DR. Amy Kim Yetasook, M.D.

NPI #1982028130 in Urbana, Illinois

Provider Information

NPI Number: 1982028130
Entity Type: Individual
Name: DR. Amy Kim Yetasook, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Feb 7, 2014
Last Updated: Feb 7, 2014

Practice Location

Address: 611 W PARK ST
Address 2: GRADUATE MEDICAL EDUCATION DEPARTMENT
City: Urbana
State: Illinois
ZIP Code: 61801-2500
Phone: (217) 326-1293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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