Individual
KELSIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 RODEO DR SE, PINE ISLAND, MN 55963-8103
(218) 280-3333
Mailing address
910 RODEO DR SE, PINE ISLAND, MN 55963-8103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R179856-0
MN
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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