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NPI Code Detail

MEDICARE: MR. YAPHETT KING

MEDICARE: MR. YAPHETT KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1417248998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YAPHETT KING
Provider Business Mailing Address
First Line : 6716 LYREWOOD LN
Second Line : APT.76
City : OKLAHOMA CITY
State : OK
Zip : 73132-6315
Country : US
Telephone Number : 727-420-7255
Fax Number :
Provider Business Practice Location Address
First Line : 6716 LYREWOOD LN
Second Line : APT.76
City : OKLAHOMA CITY
State : OK
Zip : 73132-6315
Country : US
Telephone Number : 727-420-7255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2011
Last Update Date : 05/02/2011

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