Individual
DR. PAMELA A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5330 N OAK TRFY, SUITE 201, KANSAS CITY, MO 64118-4699
(816) 454-0666
(816) 454-1694
Mailing address
5330 N OAK TRFY, SUITE 201, KANSAS CITY, MO 64118-4699
(816) 454-0666
(816) 454-1694
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
02073
MO
231H00000X
Audiologist
580
KS
237700000X
Hearing Instrument Specialist
001022
MO
237700000X
Hearing Instrument Specialist
0153
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640002924
RAILROAD MEDICARE
MO
01
—
K872974
MEDICARE-KS
KS
Enumeration date
12/08/2005
Last updated
01/09/2017
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