Individual
DARRYL K NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-8488
(816) 524-8118
Mailing address
270 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-8488
(816) 524-8118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD R8G78
MO
Other
Enumeration date
09/20/2005
Last updated
08/10/2007
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