Individual
KEVIN L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PEER SUPPORT
Contact information
Practice address
3533 LENTZ AVE, LOUISVILLE, KY 40215-1818
(502) 762-6561
Mailing address
3533 LENTZ AVE, LOUISVILLE, KY 40215-1818
(502) 762-6561
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
KY
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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