Individual
MS. KELLEY N NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8316 KASEMAN CT NE, ALBUQUERQUE, NM 87110-7639
(505) 292-5850
(505) 292-9724
Mailing address
8316 KASEMAN CT NE, ALBUQUERQUE, NM 87110-7639
(505) 292-5850
(505) 292-9724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2008-0041
NM
363AM0700X
Medical Physician Assistant
PA2008-0041
NM
Other
Enumeration date
09/17/2008
Last updated
02/09/2024
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