Richard Allan Kelty in Fort Wayne - Family Medicine
Richard Allan Kelty - NPI 1326153941
Richard Allan Kelty is a Family Medicine in Fort Wayne, Indiana. Richard Allan Kelty practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Richard Allan Kelty is 1326153941. The last update date is 2022-10-17.
Richard Allan Kelty's current location address is 3909 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604696602 and fax number 2609693065. The mailing address for Richard Allan Kelty is 3909 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Allan Kelty |
|---|---|
| Address | 3909 New Vision Dr, Fort Wayne, Indiana |
| Phone Number | 2604696602 |
| Fax Number | 2609693065 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1326153941 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
| Address | 3909 New Vision Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451725 |
| Phone Number | 2604696602 |
| Fax Number | 2609693065 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01031970A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100080150 | IN | -- | |
| 595580 | IN | ANTHEM | |
| P00698425 | IN | MEDICARE RR |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard Allan Kelty by the Centers for Medicare & Medicaid Services?
The Richard Allan Kelty has been assigned the NPI (National Provider Identifier) 1326153941 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Richard Allan Kelty's facilities are geographically located?
The facilities of Richard Allan Kelty are physically situated at the following location: 3909 New Vision Dr, Fort Wayne, IN, 468451725.
What is Richard Allan Kelty's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Allan Kelty's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326153941 to Richard Allan Kelty?
The Centers for Medicare & Medicaid Services originally issued the 1326153941 to Richard Allan Kelty on 2006-08-21.
When was the Richard Allan Kelty's information last updated?
The Richard Allan Kelty's information was last updated on 2022-10-17.