Individual
NELSON KAP-KIRWOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 S MESQUITE ST, LAS CRUCES, NM 88001-3622
(616) 566-3803
Mailing address
735 S MESQUITE ST, LAS CRUCES, NM 88001-3622
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703114231
MI
164W00000X
Licensed Practical Nurse
Primary
LP051537
AZ
Other
Enumeration date
03/27/2015
Last updated
02/28/2025
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