IndividualActive
Anthony Kelso
NPI 1700448743 · Exclusive Provider Organization · Columbus, OH
Provider details
- NPI number
- 1700448743
- Entity type
- Individual
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
2460 Sullivant Ave
Columbus, OH 43204-3139
Phone: (614) 676-0604
Approximate (ZIP-level) locationGet directions
Mailing address
2460 Sullivant Ave
Columbus, OH 43204-3139
Registry dates
- Enumerated
- 2019-06-30
- Last updated
- 2019-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.