Provider Demographics
NPI:1760736003
Name:YOON, MEGAN KALEHUAMAKANOE
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:KALEHUAMAKANOE
Last Name:YOON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:KALEHUAMAKANOE
Other - Last Name:MCPHERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2648 MYSTERE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7627
Mailing Address - Country:US
Mailing Address - Phone:702-285-6760
Mailing Address - Fax:
Practice Address - Street 1:4505 W SAN MIGUEL AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-2823
Practice Address - Country:US
Practice Address - Phone:702-684-4156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner