# PAUL D KELTY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1427158377
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01029084A | IN | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 08/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000042440 | ANTHEM | IN |
| 05 | — | 100128130A | — | IN |
| 01 | — | 1111620 | PASSPORT HEALTH PLANS | KY |
| 05 | — | 64755101 | — | KY |