Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nr Yukon LLC

Organization Family Medicine Physician · NPI 1336971860

Nr Yukon LLC is a Family Medicine Physician in Yukon, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12801 NW 10th St
Yukon, OK 73099-4175
Phone: (405) 914-6677
Fax: (405) 669-3517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1336971860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Bales — Ceo/Owner · (405) 953-7221
Other names Nerve Renewal Yukon; Nerve Renewal Yukon
NPI enumeratedAugust 14, 2024
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address3705 Nw 63rd St Ste 200, Oklahoma City, OK 73116-1937

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