Individual
DR. KIPER CECIL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16844
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122476
—
MS
01
—
512I180022
MEDICARE PTAN FOR SOUTHERN EYE PHYSICIAN'S CENTER LLC
MS
01
—
512I180023
MEDICARE PTAN FOR SOUTHERN EYE SURGERY CENTER LLC
MS
Enumeration date
05/24/2005
Last updated
01/06/2009
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