Individual
KEVIN DAVID NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
111 REDTAIL CT APT 308, MANKATO, MN 56001
(605) 321-7928
Mailing address
111 REDTAIL CT APT 308, MANKATO, MN 56001-2354
(605) 321-7928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122758
MN
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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