Individual
DR. ANDREW BRANDON KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
330 E HIGHLAND DR, LAKELAND, FL 33813
(863) 644-0430
Mailing address
2465 LAUREL GLEN DR, LAKELAND, FL 33803-5406
(954) 579-0289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN 19117
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN19117
FL
Other
Enumeration date
09/13/2010
Last updated
05/18/2018
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