Provider Demographics
NPI:1881807048
Name:YONKER, KATHLEEN (NCTMB)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:
Last Name:YONKER
Suffix:
Gender:F
Credentials:NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:PA
Mailing Address - Zip Code:15057-2950
Mailing Address - Country:US
Mailing Address - Phone:724-356-2731
Mailing Address - Fax:
Practice Address - Street 1:86 BAKER RD
Practice Address - Street 2:
Practice Address - City:MC DONALD
Practice Address - State:PA
Practice Address - Zip Code:15057-2950
Practice Address - Country:US
Practice Address - Phone:724-356-2731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist