Individual
RICHARD PETER KELT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4504 FOLSE DR, METAIRIE, LA 70006-1229
(504) 994-0768
Mailing address
4504 FOLSE DR, METAIRIE, LA 70006-1229
(504) 994-0768
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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