Provider Demographics
NPI:1740712462
Name:YU, GAYOUNG KAYLEE (MD)
Entity type:Individual
Prefix:DR
First Name:GAYOUNG
Middle Name:KAYLEE
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAYLEE
Other - Middle Name:G
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9280 W SUNSET RD
Mailing Address - Street 2:STE 306
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4861
Mailing Address - Country:US
Mailing Address - Phone:702-696-7256
Mailing Address - Fax:702-796-7256
Practice Address - Street 1:9280 W SUNSET RD
Practice Address - Street 2:STE 306
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4861
Practice Address - Country:US
Practice Address - Phone:702-696-7256
Practice Address - Fax:702-796-7256
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61037764207R00000X
NV21356207R00000X, 207RA0401X, 207RE0101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100559816Medicaid