Organization
MICHAEL J NELSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J NELSON MD (OWNER)
(913) 234-1350
Entity
Organization
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(913) 234-1350
(913) 234-1108
Mailing address
PO BOX 843620, KANSAS CITY, MO 64184-3620
(913) 234-1350
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
R8N03
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902082936
—
MO
01
—
39634016
BCBS KC MO
MO
01
—
DN0988
RR MEDICARE
MO
Enumeration date
01/22/2008
Last updated
07/31/2008
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