KEVIN T. NELSON

PEORIA, IL
NPI1396810123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019021153)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
Dr. KEVIN T. NELSON D.D.S.
1116 W LOUCKS AVE
PEORIA, IL 61604-2677
Phone number: 309-688-2112
Mailing Address
Dr. KEVIN T. NELSON D.D.S.
1116 W LOUCKS AVE
PEORIA, IL 61604-2677
Phone number: 309-688-2112
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