Organization
KEVIN R. NELSON, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN REED NELSON O.D. (OPTOMETRIST/OWNER)
(231) 352-9141
Entity
Organization
Contact information
Practice address
228 BELLOWS AVE, FRANKFORT, MI 49635-9055
(231) 352-9141
(231) 352-9739
Mailing address
228 BELLOWS AVE, P.O. BOX 2158, FRANKFORT, MI 49635-9055
(231) 352-9141
(231) 352-9739
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4901002866
MI
Other
Enumeration date
08/13/2012
Last updated
09/19/2012
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