Kelton Medical, LLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

D0045018 Issued in MD

Legal business name

KELTON MEDICAL, LLC

Practice address

301 Hospital Dr
Glen Burnie, MD 21061-5803

Phone

(410) 787-4908

NPI assigned

Sep 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard A. Kelton, M.D.

Title

President

Phone

(410) 787-4908

Specialties & licenses 2

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1932200201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25757",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212240457",
            "telephone_number": "410-787-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELTON MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "KELTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-787-4908",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D45018",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MD",
            "license": "D0045018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DG4495",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431303800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE MARYLAND #",
            "identifier": "F466",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST, MARLYAND GROUP",
            "identifier": "LZ42KE",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delayna Keller, RN
• Rachel E Keller, LSW
• Rebecca Jane Kelley, DNP, CRNP, A-GNP-C
• Tamara Nicole Kelley, M.S., LCADC
• Ron Anton Kelly, PSY.D.
• Kena Rae LLC
• Kenah One Health Care Services, LLC
• Kenah One Health Care Services, LLC
• Kenah One Health Care Services, LLC
• Kenah One Health Care Services, LLC

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.