Kevin Nelson

NPI #1477009355 in Ammon, Idaho

Provider Information

NPI Number: 1477009355
Entity Type: Individual
Name: Kevin Nelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 30, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 1480 MIDWAY AVE
City: Ammon
State: Idaho
ZIP Code: 83406-4587
Phone: (208) 523-1980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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