| Doctor Name: | WILLIAM R KELSO |
| NPI Number: | 1225263114 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D, |
| License Number: | 023175 |
| Business Practice Address: | 454 Smith Ave Thomasville, GA - 317925535 |
| Business Phone Number: | 2292275510 |
| Business Fax Number: | 2292275527 |
| Mailing Address: | Po Box 1479, THOMASVILLE |
| State: | GA |
| Postal Code: | 317991479 |
| Phone Number: | 2292275510 |
| Fax Number: | 2292275527 |
| NPI Enumeration Date: | 05/20/2009 |
| NPI Last Update Date: | 05/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 023175 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |