DR. MICHAEL GAVIN KELSO (NPI# 1700147188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700147188 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GAVIN KELSO |
| Credential | PHARM.D. |
| Practice Address |
Psc 482 Fpo AP 96362-9998 |
| Practice Telephone | 01181468168649 |
| Practice Fax Number | 011816117437015 |
| Mailing Telephone | 01181468168649 |
| Mailing Fax Number | 011816117437015 |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6938 | NE | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679868277 | Michael Kelso Jr. | Internal Medicine | 1340 Matthews Township Pkwy Ste 301, Matthews, NC 28105-4681 | 2011-06-13 |
| 1932292331 | Michael Shane Kelso | Social Worker | 6000 Lamar Ave, Ste 130, Mission, KS 66202-3234 | 2006-09-30 |
| Street Address |
PSC 482 |
| City | FPO |
| State | AP |
| Zip Code | 96362-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648794 | Edward Adison Reedy | Pathology | Psc 482, Box 79, Fpo, AP 96362-9998 | 2005-12-01 |
| 1164051751 | Christopher J Murray | Counselor | Psc 482, Fpo, AP 96362 | 2020-04-06 |
| 1275167132 | Christine Marie Bruce | Counselor | Psc 482, Fpo, AP 96362 | 2020-02-28 |
| 1528615341 | Anthony H Duong | Pharmacist | Psc 482, Fpo, AP 96362-1600 | 2019-08-26 |
| 1740765502 | Alexis M Robinson | Pharmacist | Psc 482, Fpo, AP 96362-1600 | 2018-09-27 |
| 1336631894 | Cassy Ann Piela | Nurse Anesthetist, Certified Registered | Psc 482, Fpo, AP 96362-1600 | 2018-05-31 |
| 1255885158 | Justin Beryl Hefley | Nurse Anesthetist, Certified Registered | Psc 482, U.S. Naval Hospital Okinawa, Fpo, AP 96362-9998 | 2016-08-09 |
| 1881046381 | Carrie Easton Urban | Nurse Practitioner | Psc 482, Fpo, AP 96362-9998 | 2016-07-07 |
| 1144688243 | Nicole Swanson | Physical Therapist | Psc 482, Fpo, AP 96362-1600 | 2016-02-03 |
| 1316319825 | Annette Hemphill | Advanced Practice Midwife | Psc 482, Fpo, AP 96362-9998 | 2015-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659838720 | Joshua Cobb | Occupational Therapist | Psc482, Fpo, AP 96362 | 2019-02-26 |
| 1154718203 | Tanesia Maul | Pharmacist | Psc 482 Box 52, Okinawa, OKINAWA 96362 | 2015-04-15 |
| 1144651118 | Robert Boyer | Pharmacist | Psc 482 Box 199, Fpo, AP 96362 | 2013-12-02 |
| 1972742773 | 8carla T Yballe | Military Health Care Provider | Bldg. 9497 Kab Psc 4821, Fpo, AP 96362 | 2009-02-18 |
| 1538325055 | Charles Christopher Stehman | Anesthesiology | Tarawa Rd, Camp Foster Building 960, Fpo, AP 96362 | 2008-08-04 |
| 1578740163 | Kelly Jo Cavanaugh | Speech-Language Pathologist | Psc 482 Box 3000, Fpo, AP 96362 | 2008-01-25 |
| 1215125109 | Courtney Lynn Stuursma | Physical Therapist | Usnh Okinawa, Department of Pt/ot, Psc 482, Fpo, AP 96362 | 2007-10-05 |
| 1982890299 | Mark Joseph Kane | Military Health Care Provider | Psc 482 Box 2948, Fpo Ap, Fpo, AP 96362 | 2007-09-20 |
| 1376739722 | Gary B. Hoyt | Military Health Care Provider | Psc 482 Box 2577, Fpo, AP 96362 | 2007-09-19 |
| 1801087721 | Richard Houston Blair | Audiologist | Psc 482 Box 206, Fpo, AP 96362 | 2007-08-06 |
| Find all providers in zip 96362 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770029589 | Michelle Vo Pakchoian | Pharmacist | Psc 827 Box 519, Fpo, AE 09617-0006 | 2017-01-18 |
| 1891126744 | Samuel Veloria Mendoza | Pharmacist | Usnh Guantanamo Bay, Box 161, Fpo, AE 09589-9997 | 2013-12-03 |
| 1144651118 | Robert Boyer | Pharmacist | Psc 482 Box 199, Fpo, AP 96362 | 2013-12-02 |
| 1730464421 | Jude-thaddeus Tarjomkam Mbomnda | Pharmacist | 4881 Sugarmaple Road, 88mdg/sgqp Wright Patterson Afb Oh 45433, Fpo, AP 45433 | 2011-10-13 |
| 1801199229 | Karyn E Wallace | Pharmacist | Psc 490 Box 7667, Fpo, AP 96538-0490 | 2010-12-07 |
| 1407001779 | Susan Garber | Pharmacist | Psc 819 Box 18-356, Fpo, AE 09645-9998 | 2008-11-29 |
| 1619125036 | Mathew Garber | Pharmacist | Psc 819 Box 18356, Fpo, AE 09645-9998 | 2008-08-28 |
| 1073708335 | Heather Dawn Guntherberg | Pharmacist | Mcdonald Army Health Clinic, Bldg 576 Jefferson Ave, Fpo, AE 23604 | 2007-09-10 |
| 1912023862 | Nicole Lewis Montanye | Pharmacist | Naval Hospital Pharmacy, Fpo, US 28533 | 2007-03-22 |
| 1962571869 | Lori Marheine | Pharmacist | Us Naval Hospital Camp Lester, Fpo, AP 96362 | 2006-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.