Individual
KURT LINDSLEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
618 PEGRAM DR, TUPELO, MS 38801-6322
(662) 844-6513
Mailing address
PO BOX 2180, TUPELO, MS 38803-2180
(662) 844-6513
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25415
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25414
MEDICAL LICENSE NUMBER
MS
Enumeration date
03/25/2013
Last updated
01/07/2022
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