Individual
DR. KIERSTEN M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1921 E 53RD ST, ANDERSON, IN 46013-4029
(317) 254-6480
(317) 259-8609
Mailing address
9795 CROSSPOINT BLVD, SUITE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003543A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000665387
ANTHEM BCBS
IN
05
—
200914970C
—
IN
Enumeration date
07/23/2008
Last updated
09/09/2014
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