Kelton, Jacob

Kelton, Jacob is an sole proprietor health care provider with primary practice located at 2600 Saint Michael Dr , Texarkana TX 75503-5220. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Kelton, Jacob can be contacted via phone (903) 826-3439.

Contact Information

Primary practice address
2600 Saint Michael Dr Texarkana TX 75503-5220
Phone: (903) 826-3439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP126076 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP126076 Texas

Profile Details

NPI number 1730583840
LBN Legal business name Kelton, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2014
Last updated Aug 2nd, 2022 - about 2 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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