DR. KENNETH M. YAKER M.D. NPI 1427161173

NPI Information

NPI: 1427161173
Provider Name: DR. KENNETH M. YAKER, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3019 S. FREEWAY
FORT WORTH, TX
ZIP 76104
Phone: (323) 868-8099
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DR. Kenneth M. Yaker, M.D. is a general practice in Fort Worth, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Kenneth M. Yaker, M.D. NPI is 1427161173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3019 S. FREEWAY
FORT WORTH, TX
ZIP 76104
Phone: (323) 868-8099
Fax: (815) 550-1658

The enumeration date for this NPI number is 8/16/2006 and was last updated on 10/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		P3488	TEXAS	No
2	208D00000X	General Practice		G75747	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F98955	MEDICARE UPIN	CALIFORNIA
2	G75747	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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