Doctor Name: | KENNETH NELSON |
NPI Number: | 1033100250 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G3909 |
Business Practice Address: | 1095 Marshall Way 2nd Floor Placerville, CA - 956675722 |
Business Phone Number: | 5303445470 |
Business Fax Number: | 5303445490 |
Mailing Address: | Po Box 45680, SAN FRANCISCO |
State: | CA |
Postal Code: | 941450680 |
Phone Number: | 5303445470 |
Fax Number: | 5303445490 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 08/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | G3909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |