Individual
DR. LESTER KELTY
Active
Individual
DR. LESTER KELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036056379
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036056379
BCILLINIOS
—
01
—
143400
IHS
—
05
—
1927525
—
IA
05
—
2927525
—
IA
01
—
91481
BCWELLMARK 7TH
—
01
—
93361
BCWELLMARK WEST
—
01
—
IL0181
JOHN DEERE
—
Enumeration date
03/24/2006
Last updated
12/08/2011
Update your record
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