Individual
DR. KEVIN RICHARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
309 N LABREE, THIEF RIVER FALLS, MN 56701-1912
(218) 681-1565
(218) 681-1946
Mailing address
309 LABREE AVE N STE 2, THIEF RIVER FALLS, MN 56701-2020
(218) 681-1565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3008
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4K044TH
BLUE CROSS BLUE SHIELD
MN
01
—
822797011671
PREFERRED ONE
MN
Enumeration date
09/21/2006
Last updated
07/08/2009
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