# KELTON MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932200201
- **Authorized official:** RICHARD A. KELTON M.D. (PRESIDENT)
- **Authorized official phone:** (410) 787-4908

## Contact information

- **Practice address:** 301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
- **Practice address phone:** (410) 787-4908
- **Mailing address:** PO BOX 25757, BALTIMORE, MD 21224-0457
- **Mailing address phone:** (410) 787-4908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | D45018 | MD | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | D0045018 | MD | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 05/12/2008