Organization Name: | KEVIN R. NELSON, O.D., P.C. |
NPI Number: | 1114274800 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN REED NELSON (OPTOMETRIST/OWNER) |
Mailing Address: | 228 Bellows Ave Frankfort |
State: | MI US |
Postal Code: | 496359055 |
Phone Number: | 2313529141 |
Fax Number: | 2313529739 |
NPI Enumeration Date: | 08/13/2012 |
NPI Last Update Date: | 09/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 4901002866 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |