NPI 1700448743

Anthony Kelso

Practitioner Exclusive Provider Organization Columbus, OH

Practice location

Address: 2460 Sullivant Ave, Columbus, OH 43204-3139
Phone: (614) 676-0604

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Ohio →

Registry record

NPI: 1700448743
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2019
Record last updated: 30 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.