Provider Demographics
NPI:1104408087
Name:YAMADA, KELSEY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:
Last Name:YAMADA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PENN STATE HEALTH MILTON S HERSHEY MEDICAL CENTER
Mailing Address - Street 2:500 UNIVERSITY DR
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-531-1368
Mailing Address - Fax:
Practice Address - Street 1:PENN STATE HEALTH MILTON S HERSHEY MEDICAL CENTER
Practice Address - Street 2:500 UNIVERSITY DR
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:808-352-3987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program