NPI 1770391450

Randall Kenneth Nelson, CPO

Practitioner Prosthetist Norfolk, VA

Practice location

Address: 309 Pinewell Dr, Norfolk, VA 23503-1763
Phone: (763) 567-0125

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1770391450
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2024
Record last updated: 26 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.