Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 34.012094 | OH |
NPI | 1740523331 |
---|---|
Provider Name | Dr. Kyle M Yoder |
First Address | Akron, OH 44304-1430 |
Second Address | Akron, OH 44304-1430 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 11/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0122279 | (05) | OH |