Individual
DR. KATHIE ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-2616
(330) 480-7979
Mailing address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-2616
(330) 480-7979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.069612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035827
—
OH
Enumeration date
11/09/2005
Last updated
03/12/2019
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