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Individual

DR. BRYAN C. NELSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
430 OGDEN ST, SUITE 2, SOMERSET, KY 42501-1794
(606) 679-1529
(606) 679-1529
Mailing address
430 OGDEN ST, SUITE 2, SOMERSET, KY 42501-1794
(606) 679-1529
(606) 679-1529

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4070
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047693
ANTHEM BC & BS
KY
01
10805243
CAQH
KY
01
617889
ACN GROUP
KY
Enumeration date
05/04/2006
Last updated
07/08/2007
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