Individual
DR. FREDERICK M KELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, ROOM 1204A, INDIANAPOLIS, IN 46202-1239
(317) 962-6793
(317) 962-8281
Mailing address
714 N SENATE AVE, STE EF205, INDIANAPOLIS, IN 46202-3763
(317) 715-6402
(317) 715-6415
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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