| Yolanda Huet-vaughn, M.d., P.a. | |
|
3200 Strong Ave Kansas City KS 66106 | |
| (913) 262-0550 | |
| (913) 831-3048 |
| Full Name | Yolanda Huet-vaughn, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3200 Strong Ave, Kansas City, Kansas |
| Authorized Official Name and Position | Yolanda Huet-vaughn (OWNER) |
| Authorized Official Contact | 9132620550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yolanda Huet-vaughn, M.d., P.a. 3200 Strong Ave Kansas City KS 66106-2116 Ph: (913) 262-0550 | Yolanda Huet-vaughn, M.d., P.a. 3200 Strong Ave Kansas City KS 66106 Ph: (913) 262-0550 |
| NPI Number | 1578660791 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/29/2018 |
| Medicare PECOS PAC ID | 9032181375 |
|---|---|
| Medicare Enrollment ID | O20040809000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578660791 | NPI | - | NPPES |
| 200251440A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yolanda M Huet Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467543017 PECOS PAC ID: 1658343991 Enrollment ID: I20051205000810 |
| Provider Name | Mary D Godornes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780270330 PECOS PAC ID: 9739562901 Enrollment ID: I20220822000227 |
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