Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH ALAN NELSON, PHARMACIST
Active Sole ProprietorMR. KEITH ALAN NELSON, PHARMACIST is a Pharmacist healthcare provider located in BLUE EYE, Missouri. NPI 1467630459 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BLUE EYE, MO
Registration Details
- NPI Number
- 1467630459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2008 (18.491782068789 yrs)
- Last Updated
- Apr 2, 2014
- License
-
28997 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
626 GRAY FOX RDBLUE EYE, MO, 656118149Browse MO providers · Browse ZIP 65611
- Phone
- 4177793008
- Fax
- 4177793008
- Primary Specialty
-
Pharmacist
183500000X
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.