Individual
KEVIN REED NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
228 BELLOWS AVENUE, FRANKFORT, MI 49635-2158
(231) 352-9141
(231) 352-9739
Mailing address
228 BELLOWS AVE, P.O. BOX 2158, FRANKFORT, MI 49635-2158
(231) 352-9141
(231) 352-9739
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002866
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3200186
—
MI
01
—
900A065010
BCBS
MI
Enumeration date
01/08/2007
Last updated
05/16/2013
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