Kelsey Marie Kim Nelson, RN
Individual provider Active NPI Registered Nurse · Scandia, MN
NPI 1104339399 · NPPES record last updated Nov 9, 2017
Key facts
- NPI
- 1104339399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2457026 (MN)
- Practice address
- 21050 Newberry Ave N
Scandia, MN 55073-9103 - Phone
- (651) 558-6259
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2457026 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2457026 | MN | Yes |
Addresses
Primary practice location
21050 Newberry Ave N
Scandia, MN 55073-9103
Mailing address
21050 Newberry Ave N
Scandia, MN 55073-9103
Phone (651) 558-6259
Other providers in Scandia, MN
- Ladd Memorial Hospital
- Laura Fawn Libby
- Loon Holistic Health
- Stephanie Rachel Martell
- Michael F McGrane
- Lee Nelson
- New Leaf Acupuncture
- Thomas Paul Rumreich
- Scandia Family Dental PA
- September Cottage Eldercare
All providers in Scandia, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.