Individual
KYLE A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-5724
(617) 355-6624
(617) 730-0335
Mailing address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-5724
(617) 355-6000
(617) 730-0335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
245397
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
245397
MA
Other
Enumeration date
09/05/2006
Last updated
07/14/2021
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