Provider Demographics
NPI:1871793208
Name:KELTER, KATHARINE GOLDEN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:GOLDEN
Last Name:KELTER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:KATHARINE
Other - Middle Name:ANN
Other - Last Name:GOLDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1621 EASTCHESTER RD
Mailing Address - Street 2:PEDIATRICS
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2604
Mailing Address - Country:US
Mailing Address - Phone:718-405-8040
Mailing Address - Fax:718-405-8050
Practice Address - Street 1:1621 EASTCHESTER RD
Practice Address - Street 2:PEDIATRICS
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2604
Practice Address - Country:US
Practice Address - Phone:718-405-8040
Practice Address - Fax:718-405-8050
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245244208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics