Provider Demographics
NPI:1093146649
Name:KATHY YEO, D.C., LLC
Entity Type:Organization
Organization Name:KATHY YEO, D.C., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAE
Authorized Official - Middle Name:
Authorized Official - Last Name:YEO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-735-9007
Mailing Address - Street 1:12703 PERRY HWY STE C
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8441
Mailing Address - Country:US
Mailing Address - Phone:412-735-9007
Mailing Address - Fax:724-933-3470
Practice Address - Street 1:115 HOFFMAN RD
Practice Address - Street 2:
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-2226
Practice Address - Country:US
Practice Address - Phone:412-735-9007
Practice Address - Fax:724-933-3470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty