MEDICARE: DENIS A YALKUT MD

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
1	208800000X	Urology Physician	37296	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700974797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENIS A YALKUT MD

Provider Business Mailing Address
First Line	:	2161 LEXINGTON RD STE 2
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-7952
Country	:	US
Telephone Number	:	859-624-2442
Fax Number	:	859-624-2443

Provider Business Practice Location Address
First Line	:	2161 LEXINGTON RD STE 2
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-7952
Country	:	US
Telephone Number	:	859-624-2442
Fax Number	:	859-624-2443

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	07/17/2019

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