| NPI | 1558862490 |
|---|---|
| Other Name | KAITLYNN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-51254) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 32003) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2025-10-16 |