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Individual

DR. BRENT ALLEN NELSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CHIROPRACTOR

Contact information

Practice address
1656 US HWY 60W, LEDBETTER, KY 42058
(270) 898-8530
(270) 898-8530
Mailing address
1656 US HWY 60W, LEDBETTER, KY 42058
(270) 898-8530
(270) 898-8530

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4285
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000043037
BLUECROSS
KY
01
5638229
AETNA
Enumeration date
02/15/2006
Last updated
07/08/2007
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