Individual
DR. KIRK YAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4475 S EASTERN AVE STE 1300, LAS VEGAS, NV 89119-7826
(702) 877-5199
(530) 885-8967
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 838-8265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11369
NV
207Q00000X
Family Medicine Physician
A75755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598862914
SMA MEDICAID
NV
01
—
P01550978
RR MEDICARE
NV
01
—
V109056
SMA MEDICARE
NV
Enumeration date
09/20/2006
Last updated
12/16/2024
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