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

MRS. LACEY RENEE NELSON, PA-C

Active

MRS. LACEY RENEE NELSON, PA-C is a Surgical Physician Assistant healthcare provider located in N. KANSAS CITY, Missouri. NPI 1639467806 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · N. KANSAS CITY, MO

Registration Details

NPI Number
1639467806
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2011 (15.109512000938 yrs)
Last Updated
Jan 10, 2024
License
2015004697 (MO)

Practice Information

Address
1950 DIAMOND PARKWAY
SUITE 100
N. KANSAS CITY, MO, 64116
Browse MO providers · Browse ZIP 64116
Phone
8165613003
Fax
8168891584
Primary Specialty
Surgical Physician Assistant
363AS0400X
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.