Individual
DR. SIDNEY A KELT JR.
Active
Individual
DR. SIDNEY A KELT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H1601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A32X
BCBS PROVIDER #
TX
05
—
113854702
—
TX
01
—
752484883
TAX ID #
TX
Enumeration date
05/10/2006
Last updated
12/19/2023
Update your record
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