Individual
COURTNEY KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 S MAIN ST, FORT SCOTT, KS 66701-3026
(888) 777-9170
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(888) 777-9170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
221005
OK
363LF0000X
Family Nurse Practitioner
Primary
53-79892-052
KS
Other
Enumeration date
05/05/2021
Last updated
02/14/2025
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