KEVIN GERARD NELSEN MD NPI 1154448884

NPI Information

  • NPI: 1154448884
  • Provider Name: KEVIN GERARD NELSEN, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Address: 89 GENESEE ST
    NEW HARTFORD, NY
    ZIP 13413
  • Phone: (315) 735-2294

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NPI Details

KEVIN GERARD NELSEN, MD is a pulmonary disease internal medicine in New Hartford, NY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. KEVIN GERARD NELSEN, MD NPI is 1154448884. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

89 GENESEE ST
NEW HARTFORD, NY
ZIP 13413-336
Phone: (315) 735-2294
Fax: (315) 735-2021

The provider's authorized official is Kevin Gerard Nelson .
The authorized official title is Physician and has the following contact phone number (315) 735-2294.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 11/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease145648NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139094BMEDICARE PINNEW YORK
2D76922MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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