Yaroslav Igorevich Klykov, LMP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

MA 60235982 Issued in WA

Practice address

375 Meadowbrook CT Apt 327
Bellingham, WA 98226-7377

Phone

(360) 527-1318

NPI assigned

Sep 6, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1609125632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MEADOWBROOK CT APT 327",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267377",
            "telephone_number": "360-966-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MEADOWBROOK CT APT 327",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267377",
            "telephone_number": "360-527-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYKOV",
        "first_name": "YAROSLAV",
        "middle_name": "IGOREVICH",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "MA 60235982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kleinbrook
• Kenneth J Klem, DDS
• Karey Lee Klemka-Baker, LMP
• Richard Lee Klinnert, OD
• Brandy Rai Kloth
• Abigail Knapp
• Bryn Knapp
• Maxwell Knapp
• Alexandra M Knezo, LICSW, LCSW
• Whitney Eliza Knickrehm, ND

• Sports Physician Chiropractor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.