Provider Demographics
NPI:1265061691
Name:YAN, KEVIN YIMING (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:YIMING
Last Name:YAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1365B CLIFTON RD NE STE B4500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-5360
Mailing Address - Fax:404-778-4849
Practice Address - Street 1:17 E 102ND ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5204
Practice Address - Country:US
Practice Address - Phone:212-241-1159
Practice Address - Fax:332-777-0566
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2025-08-27
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Provider Licenses
StateLicense IDTaxonomies
NY3337152084N0400X, 207WX0109X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology