Kelso, Thomas B.

Kelso, Thomas B. is an individual health care provider with primary practice located at 902 N Howe St , Southport NC 28461-3038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kelso, Thomas B. can be contacted via phone (910) 457-4789.

Contact Information

Primary practice address
902 N Howe St Southport NC 28461-3038
Phone: (910) 457-4789
Fax: (910) 579-4589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 120032 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 200300626 North Carolina

Profile Details

NPI number 1265570469
LBN Legal business name Kelso, Thomas B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Dec 19th, 2016 - about 10 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 1265570469 NPPES
Missouri MEDICAID 204883003

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