Kevin Gerard Nelsen, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

145648 Issued in NY

Legal business name

KEVIN GERARD NELSEN, MD

Practice address

89 Genesee St
New Hartford, NY 13413-2336

Phone

(315) 735-2294

Fax

(315) 735-2021

NPI assigned

Mar 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Gerard Nelson, MD

Title

Physician

Phone

(315) 735-2294

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1154448884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132336",
            "telephone_number": "315-735-2294",
            "fax_number": "315-735-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132336",
            "telephone_number": "315-735-2294",
            "fax_number": "315-735-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN GERARD NELSEN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-735-2294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "145648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.