Anthony Kelso
Anthony Kelso is an Exclusive Provider Organization in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2019
Practice location Address checks out
2460 Sullivant AveColumbus, OH 43204-3139
Phone: (614) 676-0604
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Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X (OH) |
|---|
Record details
| NPI number | 1700448743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 30, 2019 |
| Last updated in NPPES | June 30, 2019 |
| Mailing address | 2460 Sullivant Ave, Columbus, OH 43204-3139 |
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