DR. Kevin T. Nelson, D.D.S.

NPI #1396810123 in Peoria, Illinois

Provider Information

NPI Number
1396810123
Entity Type
Individual
Name
DR. Kevin T. Nelson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1116 W LOUCKS AVE
City
Peoria
ZIP Code
61604-2677
Phone
(309) 688-2112

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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