JENNIFER LYNN KELSO MD
NPI 1013956549
Emergency Medicine in Charlotte, NC
- Individual
- Female
- Emergency Medicine
About JENNIFER KELSO
This page provides the complete NPI Profile along with additional information for Jennifer Kelso, a provider established in Charlotte, North Carolina with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1013956549 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X with license number 9800297 (NC). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1013956549 Verify this NPI
- Provider Name
- JENNIFER LYNN KELSO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1918 RANDOLPH RD SUITE 175 CHARLOTTE, NC 28207
- Location Phone
- (704) 316-1050
- Location Fax
- (704) 316-1051
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Mailing Phone
- (704) 316-1050
- Mailing Fax
- (704) 316-1051
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 10-27-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 9800297
- License State
- NC
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 4301074437 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G39906 | MEDICARE UPIN (02) | ||
| M88560014 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | WA FOOTE MEMORIAL |
| 930084992 | OTHER (01) | MI | RR MEDICARE |
| 104144930 | MEDICAID (05) | MI |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013956549, enumerated as an "individual" on June 06, 2006.
The provider is located at 1918 RANDOLPH RD SUITE 175 CHARLOTTE, NC 28207 and the phone number is (704) 316-1050.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.