Individual
DR. PHILIP LLEWELLYN KELTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 GASTON AVE, WADLEY TOWER SUITE 1054, DALLAS, TX 75246-1800
(214) 826-8950
(214) 826-3434
Mailing address
3600 GASTON AVE, WADLEY TOWER SUITE 1054, DALLAS, TX 75246-1800
(214) 826-8950
(214) 826-3434
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D7112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115836201
—
TX
Enumeration date
09/24/2007
Last updated
08/20/2010
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