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Individual
KRISTIN ELIZABETH NELSON
Active
Individual
KRISTIN ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34917
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298398
—
IA
05
—
34416100
—
WI
Enumeration date
03/27/2006
Last updated
04/06/2021
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