Individual
GAYLEN M KELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(317) 962-1042
(317) 962-6722
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044998
IN
2083P0901X
Public Health & General Preventive Medicine Physician
01044998
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200157690
—
IN
Enumeration date
12/29/2005
Last updated
09/23/2025
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