=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447691217
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RICHARD YOKELL, MD LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2013
-----------------------------------------------------
Last Update Date | 10/18/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2529 SOUTH KELLY AVENUE SUITE B
-----------------------------------------------------
City | EDMOND
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-726-8669
-----------------------------------------------------
Fax | 405-726-8689
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2529 SOUTH KELLY AVENUE SUITE B
-----------------------------------------------------
City | EDMOND
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-726-8669
-----------------------------------------------------
Fax | 405-726-8689
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. RICHARD YOKELL
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 405-726-8669
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 28996
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------