Kelso Al, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KELSO AL, LLC

Practice address

114 Corduroy Rd
Kelso, WA 98626-5341

Phone

(360) 469-5060

NPI assigned

Jun 15, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Chris Spencer

Title

Sr. Vice President of Operations

Phone

(332) 322-1990

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1821923673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 3RD AVE FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161916",
            "telephone_number": "332-322-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CORDUROY RD",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986265341",
            "telephone_number": "360-469-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSO AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "332-322-1990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
            "identifier": "2731",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Jones
• Nicole Allyse Jones, CCC-SLP
• Briana Joseph
• Robert Patrick Kalal, RPH
• Jamie L Keener, RN
• Kelso Drug Co
• Kelso School District
• Colleen M Kennedy
• Paul Travis Kern, CDAC
• Elena V Khorosheva-Brown, LPN, GEM-STONE THERA

• Assisted Living Facility in Kelso, WA
• Providers in Kelso, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.