Individual
DR. KENNETH M. YAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3019 S. FREEWAY, FORT WORTH, TX 76104
(323) 868-8099
(815) 550-1658
Mailing address
PO BOX 445, VENICE, CA 90294-0445
(310) 408-6357
(213) 365-2924
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G75747
CA
208D00000X
General Practice Physician
P3488
TX
Other
Enumeration date
08/16/2006
Last updated
10/16/2013
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