Healthcare Provider Details

I. General information

NPI: 1518963636
Provider Name (Legal Business Name): YONI DOKKO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YONI DOKKO GEDIGK

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 23RD ST STE 400
ASHLAND KY
41101-2880
US

IV. Provider business mailing address

617 23RD ST STE 400
ASHLAND KY
41101-2880
US

V. Phone/Fax

Practice location:
  • Phone: 606-408-2820
  • Fax: 606-329-1768
Mailing address:
  • Phone: 606-408-2820
  • Fax: 606-329-1768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number206819
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: