Most Relevant Information
Provider Data
| NPI Number: | 1003460429 |
| Provider Name: | YUAN KENNETH JIN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 044380 |
Most Important Dates
| Enumeration Date: | 07/25/2019 |
| Last Updated: | 07/25/2019 |
Provider Practice Location
121 EVERETT RD STE 200
ALBANY
NY
122051447
Practice Location Phone/Fax
| Phone: | 5184892524 |
| Fax: | 5184893167 |
Provider Mailing Location
121 EVERETT RD STE 200
ALBANY
NY
122051447
Provider Mailing Phone/Fax
| Phone: | 5184892524 |
| Fax: | 5184893167 |