Individual
DR. BROOKE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6810 DIXIE HWY, LOUISVILLE, KY 40258-3914
(502) 873-0171
Mailing address
5707 ARCHTREE PL, LOUISVILLE, KY 40229-2218
(502) 931-9051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9603
KY
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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