MEDICARE: FRANCIS L KELTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC001398L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	114233	OTHER	BLUE SHIELD
2	02555500	OTHER	CAPITAL BLUE CROSS
3	3000113	OTHER	KEYSTONE HEALTH PLAN CENT
4	5314179	OTHER	AETNA

General Provider Information

NPI Number	:	1710963046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS L KELTZ

Provider Business Mailing Address
First Line	:	1820 HAMPDEN BLVD
Second Line	:
City	:	READING
State	:	PA
Zip	:	19604-1606
Country	:	US
Telephone Number	:	610-372-6874
Fax Number	:	610-372-9689

Provider Business Practice Location Address
First Line	:	1820 HAMPDEN BLVD
Second Line	:
City	:	READING
State	:	PA
Zip	:	19604-1606
Country	:	US
Telephone Number	:	610-372-6874
Fax Number	:	610-372-9689

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	07/08/2007

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Directions to “ FRANCIS L KELTZ ” Practice Location

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