Yates, Frederick Ketner

Yates, Frederick Ketner is an individual health care provider with primary practice located at 7939 Highway 165 , Columbia LA 71418-3327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Yates, Frederick Ketner can be contacted via phone (318) 649-6106.

Contact Information

Primary practice address
7939 Highway 165 Columbia LA 71418-3327
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.019642 Louisiana

Profile Details

NPI number 1396791653
LBN Legal business name Yates, Frederick Ketner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396791653 NPPES
Louisiana MEDICAID 1929786

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