Individual
DR. JOHN B NELSON
Active
Individual
DR. JOHN B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0417628
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058659
BCBS KANSAS
KS
01
—
07794141
BCBS KANSAS CITY
—
05
—
100190940B
—
KS
05
—
1417040890
—
MO
05
—
201237914
—
MO
Enumeration date
09/30/2006
Last updated
02/09/2022
Update your record
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