Provider Demographics
NPI:1619145026
Name:YAKEL, JONAH DALLAS (DC)
Entity type:Individual
Prefix:DR
First Name:JONAH
Middle Name:DALLAS
Last Name:YAKEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11791 W 112TH ST
Mailing Address - Street 2:SUITE #102
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2737
Mailing Address - Country:US
Mailing Address - Phone:913-498-0099
Mailing Address - Fax:
Practice Address - Street 1:11791 W 112TH ST
Practice Address - Street 2:SUITE #102
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2737
Practice Address - Country:US
Practice Address - Phone:913-498-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7778111N00000X
KS0105307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor