NPI 1467905174

Kevin Yeates, PHD

Practitioner Clinical Neuropsychologist Keesler Afb, MS

Practice location

Address: 301 Fisher St, Keesler Afb, MS 39534-2508
Phone: (228) 376-0385

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PY60883706 (WA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X

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Registry record

NPI: 1467905174
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2016
Record last updated: 20 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.