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Kelly Nellesen
NPI 1144346578 · on the registry since 2007 · sole proprietor
Practice
- Address
- 574 Park Ln
Eagle, ID 83616 - Phone
- (208) 939-2189
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho