Organization
KATHLEEN L. NELSON, M.D., L.L.C., ADULT PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LOUISE NELSON M.D. (OWNER/MANAGER/SOLE PROPRIETOR)
(978) 338-5680
Entity
Organization
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
261QM0850X
Adult Mental Health Clinic/Center
Primary
78498
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861627317
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
05/27/2009
Last updated
10/13/2009
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