Whalio Doctors

NPI 1083150437

Kenji Ueda, MS

Practitioner Athletic Trainer Charleston, WV

Practice location

Address
2300 Maccorkle Ave SE, Charleston, WV 25304-1045
Phone
(304) 840-9185

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT001295 (WV)

Registry record

NPI
1083150437
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jan 2017
Record last updated
10 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.