Harry Bertrand Kelso Jr., M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D2485 Issued in TX

Practice address

1 Moody PLZ
Galveston, TX 77550-7947

Phone

(409) 766-6416

Fax

(409) 766-6669

NPI assigned

Apr 2, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1689846305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MOODY PLZ",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775507947",
            "telephone_number": "409-766-6416",
            "fax_number": "409-766-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MOODY PLZ",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775507947",
            "telephone_number": "409-766-6416",
            "fax_number": "409-766-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "HARRY",
        "middle_name": "BERTRAND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D2485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Joyce Kelley-Smith, MD
• Danielle Nicole Kelley
• Brent Christopher Kelly, MD
• Erica B Kelly, M.D.
• Jordan Grace Kelly, LICENSED PARAMEDIC
• Jennifer Keltner, LPC
• Mae Ellen Kelver, MD
• Stephanie Elyse Kemmerling, FNP-C
• Noah Riley Kemp
• Brian Scott Kendall, MD

• Internal Medicine Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.