Individual
DR. KELVIN A YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S BRENTWOOD BLVD, SUITE 600, SAINT LOUIS, MO 63144-1320
(314) 362-4342
(314) 747-3813
Mailing address
660 S EUCLID AVE, C B 8111, SAINT LOUIS, MO 63110-1010
(314) 454-6120
(314) 454-2523
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
R2G00
MO
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
R2G00
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202815528
—
MO
Enumeration date
07/18/2006
Last updated
11/14/2016
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