Nelson, Kelly K

Nelson, Kelly K is an individual health care provider with primary practice located at 21 Highland Ave Se Suite 100, Roanoke VA 24013-2201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Nelson, Kelly K can be contacted via phone (540) 344-9213.

Contact Information

Primary practice address
21 Highland Ave Se Suite 100 Roanoke VA 24013-2201
Phone: (540) 344-9213
Fax: (540) 345-7559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 0101238648 Virginia

Profile Details

NPI number 1821081241
LBN Legal business name Nelson, Kelly K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Nov 12th, 2020 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821081241 NPPES
Other 126F1 BLUE CROSS
MEDICAID 89126F1 BLUE CROSS

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