Individual
DR. KURT KENNETH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
629 N GALENA AVE, DIXON, IL 61021-1664
(815) 284-6866
(815) 284-2388
Mailing address
629 N GALENA AVE, P.O. BOX 572, DIXON, IL 61021-1664
(815) 284-6866
(815) 284-2388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
12/05/2006
Last updated
07/09/2007
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