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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN R NELSON, PHARMD

Active Sole Proprietor

KEVIN R NELSON, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in LA PORTE, Indiana. NPI 1316379894 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · LA PORTE, IN

Registration Details

NPI Number
1316379894
Provider Type
Individual
Gender
Male
NPI Issued
Aug 6, 2013 (13.016100210855 yrs)
Last Updated
Jan 20, 2020
Licenses
26024735A (IN)
26024735A (IN)
Sole Proprietor
Yes

Practice Information

Address
55 PINE LAKE AVE
LA PORTE, IN, 463503027
Browse IN providers · Browse ZIP 46350
Phone
2193253152
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in LA PORTE, IN

Name Credential NPI
JEFFERY DAVID HAUGEN 1013502467
RICHARD OMBREMBOWSKI R.PH 1629712518
CANDACE ROTONDI 1508505785
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.