Dr. Kevin Richard Nelson, D.C.

Chiropractor in Thief River Falls, MN. Individual provider (NPI-1).

NPI number1356440283

StatusActive

Last updated in NPPESJul 8, 2009

Details

NPI: 1356440283
Entity type: Individual (NPI-1)
Name: Dr. Kevin Richard Nelson
Credential: D.C.
Sex: Male
Sole proprietor: No
Enumeration date: Sep 21, 2006
Last updated: Jul 8, 2009

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
Medicare opt-out: Nov 2, 2016 to Nov 2, 2026
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
111N00000X	Chiropractor	3008	MN	Yes

Practice location

309 N Labree
Thief River Falls, MN 56701-1912

Phone 218-681-1565 · Fax 218-681-1946

Mailing address

309 Labree Ave N Ste 2
Thief River Falls, MN 56701-2020

Phone 218-681-1565

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Chiropractor providers in Thief River Falls, MN

All 14 Chiropractor providers in Thief River Falls · All 272 providers in Thief River Falls

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