Individual
KIM NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
701 4TH AVE, SUITE 1, HOLDREGE, NE 68949-2255
(308) 995-4778
Mailing address
701 4TH AVE, SUITE 1, HOLDREGE, NE 68949-2255
(308) 995-4778
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1623
NE
Other
Enumeration date
05/21/2012
Last updated
07/08/2016
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