Yamada, Kelvin A

Yamada, Kelvin A is an individual health care provider with primary practice located at 1600 S Brentwood Blvd Suite 600, Saint Louis MO 63144-1320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Yamada, Kelvin A can be contacted via phone (314) 362-4342.

Contact Information

Primary practice address
1600 S Brentwood Blvd Suite 600 Saint Louis MO 63144-1320
Phone: (314) 362-4342
Fax: (314) 747-3813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X R2G00 Missouri
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X R2G00 Missouri

Profile Details

NPI number 1710905435
LBN Legal business name Yamada, Kelvin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710905435 NPPES
Missouri MEDICAID 202815528

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