Active NPIIndividual providerSole proprietor

Dr. Kelly K Nelson, MD

Internal Medicine in Westbrook, Connecticut

NPI Number1659396737
Practice location
5 Pequot Park RD, Suite 301, Westbrook, CT 06498-2856
Fax
860-399-6730
Last updated
March 7, 2023

Kelly Keefe Nelson is an Internal Medicine based in Westbrook, CT. Kelly Keefe Nelson practices in Westbrook, CT and has the professional credentials of MD. The NPI Number for Kelly Keefe Nelson is 1659396737 and holds a License No. 30067 (CT). The current practice location address for Kelly Keefe Nelson is 5 Pequot Park RD, Suite 301, Westbrook, CT 06498-2856 and can be reached out via phone at 860-399-6167 and via fax at 860-399-6730.

Provider Profile Details

NPI Number
1659396737
Provider Name
Kelly Keefe Nelson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5 Pequot Park RD, Suite 301, Westbrook, CT 06498-2856
Phone Number
860-399-6167
Fax Number
860-399-6730
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2006
Last Update Date
March 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Pequot Park RD
Suite 301
Westbrook, CT 06498-2856
Zip
06498-2856
Phone Number
860-399-6167
Fax Number
860-399-6730
Westbrook, CT 06498Get directions →

Provider Business Mailing Address Details

Address
5 Pequot Park RD
Suite 301
Westbrook, CT 06498-2856
City
Westbrook
State
CT
Zip
06498-2856
Phone Number
860-399-6167
Fax Number
860-399-6730

License Information

License Number
30067
License State
CT
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kelly K Nelson, MD?

The NPI number of Dr. Kelly K Nelson, MD is 1659396737. It was assigned on July 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kelly K Nelson, MD?

Dr. Kelly K Nelson, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 30067.

Where does Dr. Kelly K Nelson, MD practice?

The practice location is 5 Pequot Park RD, Suite 301, Westbrook, CT 06498-2856. The office can be reached at 860-399-6167 (phone) or 860-399-6730 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659396737 directly on the NPPES registry website.

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