Individual
DR. REBECCA LYNN KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 QUEENS RD STE 250, CHARLOTTE, NC 28204-3215
(704) 316-5100
(704) 316-5101
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5100
(704) 316-5101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2018-00611
NC
208600000X
Surgery Physician
A82292
CA
2086S0129X
Vascular Surgery Physician
094030
OH
2086S0129X
Vascular Surgery Physician
Primary
2018-00611
NC
Other
Enumeration date
04/04/2007
Last updated
02/08/2023
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