National Provider Identifier Database

MARK H KELSO, LCSW – NPI #1245667237
Mental Health


Contact Information

MARK H KELSO, LCSW
1200 JAMES STREET
JACKSONVILLE, AR72076
Phone: 501-982-5000
Fax: 501-982-5007
Website:
Specialty Taxonomy Code
* Mental Health 101YM0800X
Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for MARK H KELSO

NPI Number 1245667237
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/04/2013
Last updated 12/18/2014 - About 11 years ago
Sole proprietor1 No
Identifiers
  • AR License #: 697-C
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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