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Organization
KELTON MEDICAL, LLC
Active
Organization
KELTON MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A. KELTON M.D. (PRESIDENT)
(410) 787-4908
Entity
Organization
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4908
Mailing address
PO BOX 25757, BALTIMORE, MD 21224-0457
(410) 787-4908
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D45018
MD
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
D0045018
MD
Other
Enumeration date
09/26/2006
Last updated
05/12/2008
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