Individual
EDWARD KELMENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 461-4000
(866) 665-2702
Mailing address
36 HARBOUR ISLE DR W, #202, HUTCHINSON ISLAND, FL 34949-2788
(207) 478-5944
(866) 665-2702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD423579
PA
207L00000X
Anesthesiology Physician
Primary
ME114394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1654066
HIGHMARK BLUE SHIELD
PA
01
—
50041807
KEYSTONE HEALTH PLAN CENT
PA
01
—
90174
GEISINGER HEALTH PLAN
PA
Enumeration date
07/12/2006
Last updated
06/17/2013
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