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1760435838
KELLY RAPHAEL NELSON
BRIDGEPORT, WV
NPI
1760435838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 15120)
Enumeration Date
2006-05-18
Last Update Date
2021-01-13
Business Address
KELLY RAPHAEL NELSON MD
120 MEDICAL PARK DR SUITE 300
BRIDGEPORT, WV 26330-9012
Phone number: 304-624-7200
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Mailing Address
KELLY RAPHAEL NELSON MD
120 MEDICAL PARK DR STE 300
BRIDGEPORT, WV 26330-9012
Phone number: 304-624-7200
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