Kelt, Peter Anthony

Kelt, Peter Anthony is an sole proprietor health care provider with primary practice located at 44 Route 114 , Shelter Island NY 11964-0880. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Kelt, Peter Anthony can be contacted via phone (631) 749-9130.

Contact Information

Primary practice address
44 Route 114 Shelter Island NY 11964-0880
Phone: (631) 749-9130
Fax: (631) 749-9134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 153757-1 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 153757-1 New York

Profile Details

NPI number 1124092408
LBN Legal business name Kelt, Peter Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Feb 9th, 2022 - 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 1124092408 NPPES
New York MEDICAID 00789524

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