| NPI | 1508570623 |
|---|---|
| Professional Name | KIRBY M NELSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00007702) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |