Individual
ISCHEL G KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 927-6000
Mailing address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 927-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036176138
IL
207Q00000X
Family Medicine Physician
1019704
MA
207Q00000X
Family Medicine Physician
125077753
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
07/22/2025
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