# KEVIN R. NELSON, O.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114274800
- **Authorized official:** DR. KEVIN REED NELSON O.D. (OPTOMETRIST/OWNER)
- **Authorized official phone:** (231) 352-9141

## Contact information

- **Practice address:** 228 BELLOWS AVE, FRANKFORT, MI 49635-9055
- **Practice address phone:** (231) 352-9141
- **Practice address fax:** (231) 352-9739
- **Mailing address:** 228 BELLOWS AVE, P.O. BOX 2158, FRANKFORT, MI 49635-9055
- **Mailing address phone:** (231) 352-9141
- **Mailing address fax:** (231) 352-9739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 4901002866 | MI | Yes |

## Other

- **Enumeration date:** 08/13/2012
- **Last updated:** 09/19/2012