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Contact Information

LACEY R NELSON, PA-C
1950 DIAMOND PARKWAY
SUITE 100
NORTH KANSAS CITY, MO64116
 Phone: 816-561-3003
 Fax: 816-889-1584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LACEY R NELSON · (Female)

NPI Number 1639467806
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/21/2011
Last updated 01/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2015004697
Hospital affiliation(s)
  • NORTH KANSAS CITY HOSPITAL - (Acute Care)
    2800 CLAY EDWARDS DRIVE
    NORTH KANSAS CITY, MO 64116
  • ST LUKES NORTHLAND HOSPITAL - (Acute Care)
    5830 N W BARRY ROAD
    KANSAS CITY, MO 64154
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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