Individual
DR. KEVIN MANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
350 W WOODROW WILSON AVE STE 310, JACKSON, MS 39213-7690
(601) 815-1181
(601) 815-5306
Mailing address
350 W WOODROW WILSON AVE STE 310, JACKSON, MS 39213-7690
(601) 815-1181
(601) 815-5306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
318101
MS
Other
Enumeration date
06/06/2007
Last updated
04/03/2015
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