Provider Demographics
NPI:1306842612
Name:YAPE, KARYN KAY (DC)
Entity Type:Individual
Prefix:MISS
First Name:KARYN
Middle Name:KAY
Last Name:YAPE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:BLISSFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:49228-0067
Mailing Address - Country:US
Mailing Address - Phone:517-486-4931
Mailing Address - Fax:517-486-3026
Practice Address - Street 1:9996 E US HIGHWAY 223
Practice Address - Street 2:
Practice Address - City:BLISSFIELD
Practice Address - State:MI
Practice Address - Zip Code:49228-9688
Practice Address - Country:US
Practice Address - Phone:517-486-4931
Practice Address - Fax:517-486-3026
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-03-20
Provider Licenses
StateLicense IDTaxonomies
MI2301007477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4679754Medicaid
MI4679754Medicaid
MI0M74140Medicare ID - Type Unspecified