Individual
MICHAEL BRADLEY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-43510
KS
2080P0216X
Pediatric Rheumatology Physician
04-43510
KS
2080P0216X
Pediatric Rheumatology Physician
2024014447
MO
Other
Enumeration date
03/31/2014
Last updated
07/09/2025
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