Individual
DARYL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 S FLOYD ST, LOUISVILLE, KY 40209-1818
(602) 818-1613
Mailing address
7415 STEEPLECREST CIR, APT 302, LOUISVILLE, KY 40222-9084
(602) 818-1613
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1148
KY
Other
Enumeration date
04/12/2015
Last updated
04/12/2015
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