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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