Kenneth Yazzie
Contractor • Tsaile, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Yazzie has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kenneth Yazzie was a registered Contractor practicing in Tsaile, AZ. Throughout an active medical career spanning 13 years, Kenneth Yazzie provided care at the practice location at ROUTE 12 AND 64, MILE POST 73 until profile deactivation on 2022-09-20.
Practice Location & Contact Primary Location
Route 12 And 64, Mile Post 73
Tsaile, AZ 86556
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Tsaile, AZ
Practicing in Tsaile, AZ (348 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 20, 2022
NPI status registered as active in NPPES database
Registered at ROUTE 12 AND 64, MILE POST 73, TSAILE, AZ 86556 (Tel: 9284290746)
Registered at PO BOX 83 B, TSAILE, AZ 86556 (Tel: 9284290746)
Recorded as KENNETH YAZZIE
Contractor (License #171W00000X in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 83 B
Tsaile, AZ 86556
Phone: 9284290746
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