Individual
DOUGLAS ALAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
676 S FLOYD ST STE 200, LOUISVILLE, KY 40202-1840
(502) 629-4440
(502) 629-4445
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-6217
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
56196
KY
207RX0202X
Medical Oncology Physician
Primary
56196
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202787201 (MDACC)
—
TX
01
—
56196
STATE LICENSE
KY
01
—
8V4667
BCBS (MDACC)
TX
Enumeration date
02/17/2006
Last updated
01/10/2025
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