Anthony Kelso

NPI #1700448743 in Columbus, Ohio

Provider Information

NPI Number
1700448743
Entity Type
Individual
Name
Anthony Kelso
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Jun 30, 2019
Last Updated
Jun 30, 2019

Practice Location

Address
2460 SULLIVANT AVE
State
Ohio
ZIP Code
43204-3139
Phone
(614) 676-0604

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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