Individual
KALIN D. KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 PARK BEND DR BLDG 1, AUSTIN, TX 78758-5387
(512) 339-0440
(512) 339-0454
Mailing address
2200 PARK BEND DR BLDG 1, AUSTIN, TX 78758-5387
(512) 339-0440
(512) 339-0454
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J4259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096677203
—
TX
Enumeration date
03/14/2006
Last updated
11/03/2010
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