Active NPIIndividual provider

Dr. Michael D Kelso Jr., MD

Internal Medicine, Gastroenterology in Cambridge, Massachusetts

NPI Number1679868277
Practice location
1493 Cambridge St, Cambridge, MA 02139-1099
Fax
—
Last updated
February 2, 2026

Michael Donnell Kelso is an Internal Medicine, Gastroenterology based in Cambridge, MA. Michael Donnell Kelso practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Michael Donnell Kelso is 1679868277 and holds a License No. MD29794 (ME). The current practice location address for Michael Donnell Kelso is 1493 Cambridge St, Cambridge, MA 02139-1099 and can be reached out via phone at 617-665-1552.

Provider Profile Details

NPI Number
1679868277
Provider Name
Michael Donnell Kelso
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1493 Cambridge St, Cambridge, MA 02139-1099
Phone Number
617-665-1552
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2011
Last Update Date
February 2, 2026
Certification Date
February 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1493 Cambridge St
Cambridge, MA 02139-1099
Zip
02139-1099
Phone Number
617-665-1552
Cambridge, MA 02139Get directions →

Provider Business Mailing Address Details

Address
1215 7TH St SE Ste G200
Decatur, AL 35601-3387
City
Decatur
State
AL
Zip
35601-3387
Phone Number
256-973-3225
Fax Number
256-301-3860

License Information

License Number (1)
MD29794
License State (1)
ME
Taxonomy (1)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (2)
201700853
License State (2)
NC
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (3)
1017371
License State (3)
MA
Taxonomy (3)
Internal Medicine, Gastroenterology · 207RG0100X · Primary
License Number (4)
MD.37611
License State (4)
AL
Taxonomy (4)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (5)
C4462
License State (5)
KY
Taxonomy (5)
Internal Medicine, Gastroenterology · 207RG0100X

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 Dr. Michael D Kelso Jr., MD?

The NPI number of Dr. Michael D Kelso Jr., MD is 1679868277. It was assigned on June 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael D Kelso Jr., MD?

Dr. Michael D Kelso Jr., MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in ME under license number MD29794.

Where does Dr. Michael D Kelso Jr., MD practice?

The practice location is 1493 Cambridge St, Cambridge, MA 02139-1099. The office can be reached at 617-665-1552 (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 1679868277 directly on the NPPES registry website.

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