Individual
RICKY NMN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
361 WALLACE AVE, FRANKFORT, KY 40601-2132
(973) 494-2979
Mailing address
361 WALLACE AVE, FRANKFORT, KY 40601-2132
(973) 494-2979
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
N10999586
KY
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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