Individual
CASSEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO-06917
IA
2084P0800X
Psychiatry Physician
IP1661
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
03/29/2019
Last updated
02/12/2025
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