Individual
MR. JEFF BRYAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8800 PENROSE LN APT 542, LENEXA, KS 66219-8171
(913) 940-1233
Mailing address
8800 PENROSE LN APT 542, LENEXA, KS 66219-8171
(913) 940-1233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2006
Last updated
05/28/2021
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