Individual
DR. KRISTINE M. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
413 HIGH ST, WATERFORD, PA 16441-8301
(814) 796-3535
(814) 796-3535
Mailing address
PO BOX 757, WATERFORD, PA 16441-0757
(814) 796-3535
(814) 796-3535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-4929L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
725732
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/12/2006
Last updated
07/08/2007
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