Individual
CHRISTINA D NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9784 N ASH AVE, KANSAS CITY, MO 64157-9742
(816) 781-4244
(816) 782-3542
Mailing address
9784 N ASH AVE, KANSAS CITY, MO 64157-9742
(816) 781-4244
(816) 781-3542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011034014
MO
207Q00000X
Family Medicine Physician
228481
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14877694444
—
MO
01
—
P01100519
RR MEDICARE
MO
Enumeration date
08/20/2006
Last updated
12/15/2016
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