Individual
KEITH ALLEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-5430
Mailing address
13911 RIDGEDALE DR, SUITE 350, MINNETONKA, MN 55305-1771
(952) 932-0998
(952) 932-7122
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R198073-4
MN
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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