Provider Demographics
NPI:1760130462
Name:YUNOS, KELSEY SAVANNAH
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:SAVANNAH
Last Name:YUNOS
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 1:5125 OVERLAND DR APT K4
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4140
Mailing Address - Country:US
Mailing Address - Phone:785-727-0701
Mailing Address - Fax:
Practice Address - Street 1:5125 OVERLAND DR APT K4
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4140
Practice Address - Country:US
Practice Address - Phone:785-727-0701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician