Provider Demographics
NPI:1417427204
Name:YOYO, SAMUEL L
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:L
Last Name:YOYO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 NE 94TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64156-8905
Mailing Address - Country:US
Mailing Address - Phone:816-769-8472
Mailing Address - Fax:816-612-9904
Practice Address - Street 1:3505 NE 94TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64156-8905
Practice Address - Country:US
Practice Address - Phone:816-769-8472
Practice Address - Fax:816-612-9904
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)