Individual
DR. HAROLD G. KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
222 PIEDMONT AVE, SUITE 3400, CINCINNATI, OH 45219-4231
(513) 475-7718
(513) 475-7711
Mailing address
260 STETSON STREET, ML 0530 SUITE 5200, CINCINNATI, OH 45267-0530
(513) 558-2919
(513) 558-4458
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3910
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012171
ANTHEM
—
05
—
0168107
—
OH
05
—
200510310
—
IN
05
—
89540157
—
KY
Enumeration date
06/24/2006
Last updated
05/08/2008
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