Provider Demographics
NPI:1225317100
Name:AKINS, YETUNDE O (MD)
Entity Type:Individual
Prefix:DR
First Name:YETUNDE
Middle Name:O
Last Name:AKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 MOUNTAIN VIEW BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-1137
Mailing Address - Country:US
Mailing Address - Phone:541-274-8640
Mailing Address - Fax:541-274-8645
Practice Address - Street 1:2301 MOUNTAIN VIEW BLVD STE A
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1137
Practice Address - Country:US
Practice Address - Phone:541-274-8640
Practice Address - Fax:541-274-8645
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMDST7202084P0800X
MDD00774692084P0800X
ORMD1755832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry