Kelso, Benjamin

Kelso, Benjamin is an individual health care provider with primary practice located at 1200 Mira Mar Ave Ste 1 , Medford OR 97504-8588. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Kelso, Benjamin can be contacted via phone (800) 848-7868.

Contact Information

Primary practice address
1200 Mira Mar Ave Ste 1 Medford OR 97504-8588
Phone: (800) 848-7868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 368677 Oregon

Profile Details

NPI number 1093259152
LBN Legal business name Kelso, Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2016
Last updated Dec 8th, 2016 - about 8 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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