Individual
KELSEY MARIE KIM NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21050 NEWBERRY AVE N, SCANDIA, MN 55073-9103
(651) 558-6259
Mailing address
21050 NEWBERRY AVE N, SCANDIA, MN 55073-9103
(651) 558-6259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2457026
MN
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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