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

KELLY RAPHAEL NELSON, MD

Active

KELLY RAPHAEL NELSON, MD is a Family Medicine healthcare provider located in BRIDGEPORT, West Virginia. NPI 1760435838 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BRIDGEPORT, WV

Registration Details

NPI Number
1760435838
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2006 (20.214389611016 yrs)
Last Updated
Jan 13, 2021
License
15120 (WV)

Practice Information

Address
120 MEDICAL PARK DR
SUITE 300
BRIDGEPORT, WV, 263309012
Browse WV providers · Browse ZIP 26330
Phone
3046247200
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BRIDGEPORT, WV

Name Credential NPI
DR. DAVID ELWOOD HESS M.D. 1740275676
DR. ERIC J RADCLIFFE MD 1386627743
DR. ELIZABETH H HESS MD 1851374987
FRANCES BLAKE MURRAY MD 1043262942
JAMES DESPARD BAILEY JR. MD 1912933995
MRS. SUZANNE WHITNEY COURTNEY MD 1568498277
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.