Provider Demographics
NPI:1366703423
Name:YEH, DEBBIE KIT-YAN
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:KIT-YAN
Last Name:YEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N. BEAVER ST.
Mailing Address - Street 2:BLDG 2-2
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-3145
Mailing Address - Country:US
Mailing Address - Phone:928-774-7997
Mailing Address - Fax:
Practice Address - Street 1:710 N. BEAVER ST.
Practice Address - Street 2:BLDG 2-2
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3145
Practice Address - Country:US
Practice Address - Phone:928-774-7997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program