Kelley L Yeokum
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Freeman, MO
NPI 1104967637 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1104967637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 62819415 (MO)
- Legal business name
- KELLEY L YEOKUM
- Practice address
- 27421 S State Route 2
Freeman, MO 64746-7102 - Phone
- (816) 250-2398
- Fax
- (816) 250-2398
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kelley Lynn Yeokum, MSE
- Title
- Sole Proprietor
- Phone
- (816) 419-7106
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 62819415 | MO | Yes |
Addresses
Primary practice location
27421 S State Route 2
Freeman, MO 64746-7102
Mailing address
27421 S State Route 2
Freeman, MO 64746-7102
Phone (816) 250-2398
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.