# MR. KINSEY BJORN NELSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427276260
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12048 | ND | Yes |
| 207Q00000X | Family Medicine Physician | 51215 | MN | — |
| 207Q00000X | Family Medicine Physician | PT 12048 | ND | — |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 12/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1427276260 | — | MN |
| 05 | — | 16281 | — | ND |