| Sidney A. Kelt Jr., M.d., P.a. | |
|
3500 Oaklawn Ave Ste 300 Dallas TX 75219-4349 | |
| (972) 709-1961 | |
| Not Available |
| Full Name | Sidney A. Kelt Jr., M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3500 Oaklawn Ave, Dallas, Texas |
| Authorized Official Name and Position | Sidney Arthur Kelt (PRESIDENT) |
| Authorized Official Contact | 4697667046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney A. Kelt Jr., M.d., P.a. 3500 Oaklawn Ave Ste 300 Dallas TX 75219-4349 Ph: (972) 709-1961 | Sidney A. Kelt Jr., M.d., P.a. 3500 Oaklawn Ave Ste 300 Dallas TX 75219-4349 Ph: (972) 709-1961 |
| NPI Number | 1316214364 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 9234384173 |
|---|---|
| Medicare Enrollment ID | O20130227000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316214364 | NPI | - | NPPES |
| 113854702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | H1601 (Texas) | Primary |
| Provider Name | Sidney A Kelt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902855430 PECOS PAC ID: 8426217472 Enrollment ID: I20120309000525 |
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