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Individual

DR. MICHAEL DONNELL KELSO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1552
Mailing address
1215 7TH ST SE STE G200, DECATUR, AL 35601-3387
(256) 973-3225
(256) 301-3860

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1017371
MA
207RG0100X
Gastroenterology Physician
201700853
NC
207RG0100X
Gastroenterology Physician
C4462
KY
207RG0100X
Gastroenterology Physician
MD.37611
AL
207RG0100X
Gastroenterology Physician
MD29794
ME

Other

Enumeration date
06/13/2011
Last updated
02/02/2026
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