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Contact Information

KELTON MEDICAL, LLC
301 HOSPITAL DR
GLEN BURNIE, MD21061-5803
 Phone: 410-787-4908
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KELTON MEDICAL, LLC

NPI Number 1932200201
LBN Legal business name KELTON MEDICAL, LLC
Authorized official RICHARD KELTON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2006
Last updated 05/12/2008 - About 18 years ago
Identifiers
MD License # D0045018
MD License # D45018
MD Medicaid 431303800
MD Other F466 BLUECHOICE MARYLAND #
MD Other LZ42KE CAREFIRST, MARLYAND GROUP
MD Other DG4495 RAILROAD MEDICARE GROUP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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