Individual
BRYAN D KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
452 W 10TH AVE, H-4275, COLUMBUS, OH 43210-1240
(614) 366-8058
Mailing address
145 REED WAY, SUNBURY, OH 43074-8500
(740) 297-5647
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
307113
OH
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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