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Contact Information

JACQUELINE M YOUTSOS, MD
2425 BRADSHAW WAY
PITTSBURG, KS66762-6600
 Phone: 620-308-6123
 Fax: 620-308-6264
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JACQUELINE M YOUTSOS · (Female)

NPI # 1780950352
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2012
Last updated 10/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0438483
  • KS Medicaid 201124850A
Hospital affiliation(s)
  • LABETTE HEALTH - (Acute Care)
    1902 SOUTH US HWY 59
    PARSONS, KS 67357
  • NEVADA REGIONAL MEDICAL CENTER - (Acute Care)
    800 S ASH ST
    NEVADA, MO 64772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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