Kelton, Gaylen M

Kelton, Gaylen M is an individual health care provider with primary practice located at 1520 N Senate Ave , Indianapolis IN 46202-2213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kelton, Gaylen M can be contacted via phone (317) 962-1042.

Contact Information

Primary practice address
1520 N Senate Ave Indianapolis IN 46202-2213
Phone: (317) 962-1042
Fax: (317) 962-6722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 01044998 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01044998 Indiana

Profile Details

NPI number 1689651721
LBN Legal business name Kelton, Gaylen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Dec 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689651721 NPPES
Indiana MEDICAID 200157690

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