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Individual

DR. KYLE SHAUNE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11850 BLACKFOOT ST NW, SUITE 490, COON RAPIDS, MN 55433-2578
(763) 427-1137
Mailing address
11850 BLACKFOOT ST NW, SUITE 490, COON RAPIDS, MN 55433-2578
(763) 427-1137

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
57276
MN
207T00000X
Neurological Surgery Physician
5933
NE

Other

Enumeration date
06/30/2008
Last updated
12/24/2024
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