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Individual

DR. KATHRYN MELISSA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2075 UNIVERSITY PARK BLVD, LAYTON, UT 84041-1611
(801) 779-6200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
12974427-1204
UT
208VP0014X
Interventional Pain Medicine Physician
12974427-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/07/2017
Last updated
11/01/2022
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