Active NPIIndividual provider

Walter T Kelso

Pharmacist in Mount Laurel, New Jersey

NPI Number1023751013
Practice location
136 Gaither Dr Ste 120, Mount Laurel, NJ 08054-1725
Fax
—
Last updated
April 18, 2022

Walter T Kelso is a Pharmacist based in Mount Laurel, NJ. Walter T Kelso practices in Mount Laurel, NJ. The NPI Number for Walter T Kelso is 1023751013 and holds a License No. 28RI02318700 (NJ). The current practice location address for Walter T Kelso is 136 Gaither Dr Ste 120, Mount Laurel, NJ 08054-1725 and can be reached out via phone at 856-380-1828.

Provider Profile Details

NPI Number
1023751013
Provider Name
Walter T Kelso
Provider Entity Type
Individual
Gender
Male
Address
136 Gaither Dr Ste 120, Mount Laurel, NJ 08054-1725
Phone Number
856-380-1828
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
April 18, 2022
Last Update Date
April 18, 2022
Certification Date
April 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725
Zip
08054-1725
Phone Number
856-380-1828
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725
City
Mount Laurel
State
NJ
Zip
08054-1725
Phone Number
856-380-1828

License Information

License Number
28RI02318700
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Walter T Kelso?

The NPI number of Walter T Kelso is 1023751013. It was assigned on April 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Walter T Kelso?

Walter T Kelso is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI02318700.

Where does Walter T Kelso practice?

The practice location is 136 Gaither Dr Ste 120, Mount Laurel, NJ 08054-1725. The office can be reached at 856-380-1828 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023751013 directly on the NPPES registry website.

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