Individual
DR. MARK ANTHONY YACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
(620) 669-2598
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
(620) 694-2005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-31842
KS
207R00000X
Internal Medicine Physician
32631-020
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
04-31842
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200373750
—
KS
Enumeration date
06/24/2005
Last updated
08/23/2021
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