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Contact Information

KASEY C NELSON, DO
405 W JACKSON ST
CARBONDALE, IL62901
 Phone: 618-549-0721
 Fax: 618-457-0469
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KASEY C NELSON · (Male)

NPI Number 1205050416
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/12/2007
Last updated 09/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036147888
  • MI License # 5101015756
  • MI Other 700F960010 BC PIN
Hospital affiliation(s)
  • HERRIN HOSPITAL - (Acute Care)
    201 S 14TH ST
    HERRIN, IL 62948
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
  • ST JOSEPH MEMORIAL HOSPITAL - (Critical Access)
    2 SOUTH HOSPITAL DRIVE
    MURPHYSBORO, IL 62966
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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