| Kenneth E Yagodich, Md, Pc | |
|
1200 Heinlein Rd Evansville IN 47725-6379 | |
| (812) 868-0800 | |
| (812) 868-0804 |
| Full Name | Kenneth E Yagodich, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Heinlein Rd, Evansville, Indiana |
| Authorized Official Name and Position | Kenneth Eric Yagodich (PRESIDENT) |
| Authorized Official Contact | 8128680800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E Yagodich, Md, Pc 1200 Heinlein Rd Evansville IN 47725-6379 Ph: (812) 868-0800 | Kenneth E Yagodich, Md, Pc 1200 Heinlein Rd Evansville IN 47725-6379 Ph: (812) 868-0800 |
| NPI Number | 1194090308 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 03/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194090308 | NPI | - | NPPES |
| 1578604633 | Other | IN | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01037698 (Indiana) | Primary |
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