Individual
DR. KELSEY RENAE KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1713 SW H K DODGEN LOOP, TEMPLE, TX 76502-1836
(254) 771-8100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P9616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337684001
—
TX
Enumeration date
06/09/2010
Last updated
01/26/2022
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