Individual
KAREN CHRISTY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
825 2ND AVE STE B1, BOWLING GREEN, KY 42101-1790
(270) 796-3330
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
05069
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
34.010720
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
68367-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075165
—
OH
01
—
05069
KY LICENSE
KY
05
—
100073070
—
WI
05
—
3810026129
—
WV
01
—
68367-21
WI LICENSE
WI
Enumeration date
05/10/2007
Last updated
07/12/2022
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