Individual
DR. KRISTA NICOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
235 S MAIN ST STE B, EDWARDSVILLE, IL 62025
(618) 307-9015
(618) 307-9017
Mailing address
5139 MATTIS RD STE 102, SAINT LOUIS, MO 63128-2250
(314) 909-1920
(314) 909-1980
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005540
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
2012023303
MO
Other
Enumeration date
05/28/2009
Last updated
04/10/2019
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