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Individual

KAMAL NT YOAKIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4310
(419) 226-4315
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5015
(513) 981-5015

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-093757
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
35.093757
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3043030
OH
Enumeration date
07/28/2008
Last updated
09/03/2014
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