Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 35.053323 | OH |
N | 208200000X | Surgeon | 35-053323 | OH |
N | 208600000X | Surgeon | 35-053323 | OH |
N | 2086S0105X | Surgery of the Hand | 35-053323 | OH |
NPI | 1184692022 |
---|---|
Provider Name | Dr. Kevin Paul Yakuboff |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 15/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0700405 | (05) | OH |
A82914 | (02) | OH |