Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 2016022807 | MO |
NPI | 1023099561 |
---|---|
Provider Name | Dr. Timi A Akins |
First Address | Springfield, MO 65808-9007 |
Second Address | Springfield, MO 65807-5155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 27/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023099561 | (05) | MO |
200035219 | (05) | MO |