Individual
DR. JOHN B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10550 QUIVIRA RD, SUITE 335, OVERLAND PARK, KS 66215-2306
(913) 599-3800
(913) 599-3854
Mailing address
PO BOX 12035, KANSAS CITY, KS 66112-0035
(913) 599-3800
(913) 599-3854
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
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