1225082324 NPI number — DR. LINDA KAYE YARROW RD,LD,CDE,PHD

Table of content: DR. LINDA KAYE YARROW RD,LD,CDE,PHD (NPI 1225082324)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225082324 NPI number — DR. LINDA KAYE YARROW RD,LD,CDE,PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YARROW
Provider First Name:
LINDA
Provider Middle Name:
KAYE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
RD,LD,CDE,PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCGINLEY
Provider Other First Name:
LINDA
Provider Other Middle Name:
KAYE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1225082324
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/17/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 512
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLAY CENTER
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67432-0512
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-632-2144
Provider Business Mailing Address Fax Number:
785-632-3352

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
617 LIBERTY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLAY CENTER
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67432-1564
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-632-2144
Provider Business Practice Location Address Fax Number:
785-632-3352
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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