Provider Demographics
NPI:1831301381
Name:YIEE, KEVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:YIEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 PIONEER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7548
Mailing Address - Country:US
Mailing Address - Phone:402-484-4900
Mailing Address - Fax:402-484-6456
Practice Address - Street 1:8001 EIGER DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6537
Practice Address - Country:US
Practice Address - Phone:402-904-7135
Practice Address - Fax:402-904-7175
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA911822085R0001X
NE248672085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE03702OtherBCBS
NE098147034Medicare PIN
NEP00716923Medicare PIN