Individual
WILLIAM R KELSO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
454 SMITH AVE, THOMASVILLE, GA 31792-5535
(229) 227-5510
(229) 227-5527
Mailing address
PO BOX 1479, THOMASVILLE, GA 31799-1479
(229) 227-5510
(229) 227-5527
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023175
GA
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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