Individual
DR. KELLY KEEFE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 PEQUOT PARK RD, SUITE 301, WESTBROOK, CT 06498-2856
(860) 399-6167
(860) 399-6730
Mailing address
5 PEQUOT PARK RD, SUITE 301, WESTBROOK, CT 06498-2856
(860) 399-6167
(860) 399-6730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30067
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24371
STATE DCP
CT
01
—
30067
STATE MEDICAL LICENSE
CT
Enumeration date
07/12/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us