KELLY RAPHAEL NELSON

BRIDGEPORT, WV
NPI1760435838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  15120)
Enumeration Date2006-05-18
Last Update Date2021-01-13
Business Address
KELLY RAPHAEL NELSON MD
120 MEDICAL PARK DR SUITE 300
BRIDGEPORT, WV 26330-9012
Phone number: 304-624-7200
Mailing Address
KELLY RAPHAEL NELSON MD
120 MEDICAL PARK DR STE 300
BRIDGEPORT, WV 26330-9012
Phone number: 304-624-7200