Kelso, Andrew Brandon

Kelso, Andrew Brandon is an sole proprietor health care provider with primary practice located at 330 E Highland Dr , Lakeland FL 33813. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Kelso, Andrew Brandon can be contacted via phone (863) 644-0430.

Contact Information

Primary practice address
330 E Highland Dr Lakeland FL 33813
Phone: (863) 644-0430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN 19117 Florida
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN19117 Florida

Profile Details

NPI number 1154638187
LBN Legal business name Kelso, Andrew Brandon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2010
Last updated May 18th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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