Individual
KELLY M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
566 W PRAIRIE AVE, COEUR D ALENE, ID 83815-7766
(208) 625-5155
(208) 625-5156
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O1165
ID
Other
Enumeration date
05/12/2007
Last updated
04/26/2024
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