Individual
KEISUKE UEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2195 HARRODSBURG RD STE 2, LEXINGTON, KY 40504-3516
(859) 562-1868
(859) 257-0421
Mailing address
660 S EUCLID AVE, CB 8111, SAINT LOUIS, MO 63110-1010
(314) 362-1408
(314) 454-2523
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2017032656
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
60180
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200055356
—
MO
Enumeration date
04/18/2013
Last updated
03/21/2025
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