PHILIP L KELTON JR MD PA NPI 1982666434

NPI Information

PHILIP L KELTON JR MD PA is a plastic and reconstructive surgery surgery in Dallas, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. PHILIP L KELTON JR MD PA NPI is 1982666434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3600 GASTON AVE
WADLEY TOWER SUITE 1054
DALLAS, TX
ZIP 75246-910
Phone: (214) 826-8950
Fax: (214) 826-3434

The provider's authorized official is Philip Llewellyn Kelton .
The authorized official title is OWNER PRESIDENTPresident and has the following contact phone number (214) 826-8950.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 8/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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