Nelsen, Kristin M

Nelsen, Kristin M is an individual health care provider with primary practice located at 3264 N Evergreen Drive Ne , Grand Rapids MI 49525. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Nelsen, Kristin M can be contacted via phone (616) 363-7272.

Contact Information

Primary practice address
3264 N Evergreen Drive Ne Grand Rapids MI 49525
Phone: (616) 363-7272
Fax: (616) 361-5828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4301058117 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301058117 Michigan

Profile Details

NPI number 1194796102
LBN Legal business name Nelsen, Kristin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jun 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194796102 NPPES
Michigan MEDICAID 3454526

Popular Providers