Provider Demographics
NPI:1346225992
Name:YEE, KRISTEN SHUI-CHUN (MD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:SHUI-CHUN
Last Name:YEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 EAST MCDOWELL RD.
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:602-521-3700
Mailing Address - Fax:602-521-3701
Practice Address - Street 1:925 EAST MCDOWELL RD.
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-521-3700
Practice Address - Fax:602-521-3701
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91088208200000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1346225992Medicaid
CARES000Medicare UPIN
CAHE098YMedicare PIN