Gude, James Kelso

Gude, James Kelso is an individual health care provider with primary practice located at 6800 Palm Ave Suite K, Sebastopol CA 95472-4269. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Gude, James Kelso can be contacted via phone (707) 824-0882.

Contact Information

Primary practice address
6800 Palm Ave Suite K Sebastopol CA 95472-4269
Phone: (707) 824-0882
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00G126270 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 00G126260 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 00G126260 California

Profile Details

NPI number 1235194697
LBN Legal business name Gude, James Kelso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 8th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235194697 NPPES
California MEDICAID 00G127260

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