Individual
KATHLEEN LOUISE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 CUMMINGS CTR, SUITE 343F, BEVERLY, MA 01915-6115
(978) 338-5680
(978) 338-5681
Mailing address
100 CUMMINGS CTR, SUITE 343F, BEVERLY, MA 01915-6115
(978) 338-5680
(978) 338-5681
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
0101047884
VA
2084F0202X
Forensic Psychiatry Physician
71654
TN
2084F0202X
Forensic Psychiatry Physician
784981
MA
2084P0800X
Psychiatry Physician
0101047884
VA
2084P0800X
Psychiatry Physician
71654
TN
2084P0800X
Psychiatry Physician
Primary
784981
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861627317
HARVARD PILGRIM HEALTH CARE
—
Enumeration date
03/17/2006
Last updated
03/12/2025
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