Individual
DR. FREDERICK M KELVIN
Active
Individual
DR. FREDERICK M KELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01034175
IN
2085U0001X
Diagnostic Ultrasound Physician
01034175
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100438600
—
IN
01
—
P00195765
RAILROAD MEDICARE
IN
Enumeration date
06/14/2006
Last updated
11/10/2008
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