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NPI Code Detail

MEDICARE: KAREN ANN NELSON PH.D.

MEDICARE:   KAREN ANN NELSON  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170100000XPh.D. Medical Genetics
2247ZC0005XClinical Laboratory Director (Non-physician)

General Provider Information

NPI Number : 1972705622
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANN NELSON PH.D.
Provider Business Mailing Address
First Line : 4403 51ST AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4028
Country : US
Telephone Number : 206-689-6549
Fax Number : 206-689-6582
Provider Business Practice Location Address
First Line : 921 TERRY AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1239
Country : US
Telephone Number : 206-689-6549
Fax Number : 206-689-6582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 08/27/2015

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