| Doctor Name: | DR. KENNETH M. YAKER |
| NPI Number: | 1427161173 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | P3488 |
| Business Practice Address: | 3019 S. Freeway Fort Worth, TX - 76104 |
| Business Phone Number: | 3238688099 |
| Business Fax Number: | 8155501658 |
| Mailing Address: | Po Box 445, VENICE |
| State: | CA |
| Postal Code: | 902940445 |
| Phone Number: | 3104086357 |
| Fax Number: | 2133652924 |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P3488 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |