DR. ROBERT MILES KELSO (NPI# 1487787172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487787172 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MILES KELSO |
| Credential | D.D.S. |
| Practice Address |
6311 Kingston Pike Suite 3e Knoxville TN 37919-4906 |
| Practice Telephone | 8655886534 |
| Practice Fax Number | 8655882576 |
| Mailing Telephone | 8655886534 |
| Mailing Fax Number | 8655882576 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8033 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD TN | 4062119 | 01 |
| TN | FEDERAL TAX ID | 450517441 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194206813 | Robert Clayton Kelso | Physical Therapist | 415 Indian Oaks Dr, Harker Heights, TX 76548-6202 | 2018-08-22 |
| 1689977670 | Robert G. Kelso | Counselor | 1190 W. Roosevelt Blvd, Monroe, NC 28110-2818 | 2010-12-13 |
| 1972720779 | Robert Kelso | Psychologist | 148 E Arapahoe St, Thermopolis, WY 82443-2402 | 2007-04-20 |
| Street Address |
6311 KINGSTON PIKE SUITE 3E |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719516 | G Stephen Ollard Dds, Pllc | Dentist | 6311 Kingston Pike, Suite 26w, Knoxville, TN 37919-4906 | 2005-11-30 |
| 1184176778 | Bright Eye Consultants PC | Ophthalmology | 6311 Kingston Pike, Suite 3e, Knoxville, TN 37919-4906 | 2016-10-29 |
| 1205224151 | Grace Alexandra Rash | Physician Assistant | 6311 Kingston Pike, Ste 21e, Knoxville, TN 37919-4906 | 2014-12-30 |
| 1134474117 | John Michael Coulter | Dentist | 6311 Kingston Pike, Suite 2e, Knoxville, TN 37919-4906 | 2012-07-17 |
| 1699048942 | Mercedes Lynn Stanescu | Dental Assistant | 6311 Kingston Pike, Knoxville, TN 37919-4906 | 2012-02-17 |
| 1659648871 | Sleep Apnea Professionals LLC | Dentist | 6311 Kingston Pike, Suite 8-w, Knoxville, TN 37919-4906 | 2011-11-17 |
| 1174836779 | Miriam Suzanne Wills | Psychologist | 6311 Kingston Pike, Suite 28w, Knoxville, TN 37919-4906 | 2010-07-23 |
| 1508041526 | Norma Eugenia P Delany | Dental Hygienist | 6311 Kingston Pike, Suite 8w, Knoxville, TN 37919-4906 | 2008-01-09 |
| 1629263421 | Christopher Patrick O'brien Jr. | Ophthalmology | 6311 Kingston Pike, Suite 6w, Knoxville, TN 37919-4906 | 2007-09-14 |
| 1417033804 | Advanced Dental Concepts PC | Dentist | 6311 Kingston Pike, Suite 8-w, Knoxville, TN 37919-4906 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699336610 | Eric Michael Jones | Dentist | 202 E Robinson St, Knoxville, IA 50138-2235 | 2019-06-21 |
| 1447810809 | Drew Patchett | Dentist | 7731 Kingston Pike Ste 102, Knoxville, TN 37919-5519 | 2019-06-18 |
| 1174183990 | Malone & Costa, Pllc | Dentist | 264 S Peters Rd, Knoxville, TN 37923-5203 | 2019-06-14 |
| 1801374277 | Fred James Hollingsworth Jr. | Dentist | 9225 Westland Dr # 101, Knoxville, TN 37922-5216 | 2018-07-30 |
| 1689190688 | Erin Lee Noble | Dentist | 6414 Granite Hill Ln, Knoxville, TN 37923-8009 | 2017-08-21 |
| 1063952430 | Victor Hubbell Williams Pllc | Dentist | 10509 Hardin Valley Rd, Knoxville, TN 37932-1502 | 2017-03-03 |
| 1336545961 | Law Family Dentsitry, Pllc | Dentist | 10788 Hardin Valley Rd, Knoxville, TN 37932-1407 | 2014-11-10 |
| 1376976449 | Adult and Family Dentistry | Dentist | 5303 Jacksboro Pike, Knoxville, TN 37918-3328 | 2013-08-13 |
| 1609217470 | Sara B. Boren | Dentist | 122 Lynnwood Dr, Knoxville, TN 37918-3306 | 2013-07-09 |
| 1750720108 | Knoxville Pediatric Dentistry, Pllc | Dentist | 10910 Kingston Pike Unit 105, Knoxville, TN 37934-2948 | 2013-06-19 |
| Find all providers in KNOXVILLE | ||||
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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.