Individual
BRADEN KYLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 LILLY RD NE STE 200, OLYMPIA, WA 98506-5137
(360) 413-8413
(360) 413-7143
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OP61529289
WA
Other
Enumeration date
03/27/2020
Last updated
08/16/2024
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