Kelso, Gregory

Kelso, Gregory is an individual health care provider with primary practice located at 860 Bethesda Dr , Zanesville OH 43701-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelso, Gregory can be contacted via phone (740) 454-4651.

Contact Information

Primary practice address
860 Bethesda Dr Zanesville OH 43701-1800
Phone: (740) 454-4651
Fax: (740) 454-4653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35082836 Ohio

Profile Details

NPI number 1306821178
LBN Legal business name Kelso, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Aug 19th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306821178 NPPES
Ohio MEDICAID 2434600
Ohio Other KE4115011
Ohio Other 000000300315
Ohio Other 311413469036
Ohio Other 0949499
Ohio Other 0111122
Ohio Other P00096768
Ohio Other 00000017743
Ohio Other CA1586

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