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General NPI Number Information
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NPI Number | 1447415641
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Entity Type | Individual
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Provider Name | KAMAL NT YOAKIM MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 730 W MARKET ST
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City | LIMA
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State | OH
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Zip | 45801-4602
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Country | US
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Telephone | 419-226-4310
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Fax | 419-226-4315
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Provider Business Mailing Address
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Address Line | PO BOX 636930
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City | CINCINNATI
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State | OH
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Zip | 45263-0001
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Country | US
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Telephone | 513-981-5015
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Fax | 513-981-5015
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35-093757
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 35.093757
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License Number State | OH
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