Individual
DR. HAROLD G. KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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