Provider Demographics
NPI:1801281910
Name:NELSON-RINALDI, KAITLIN (DPM)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:NELSON-RINALDI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:KAITLIN
Other - Middle Name:
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:970 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-3322
Mailing Address - Country:US
Mailing Address - Phone:410-778-1801
Mailing Address - Fax:
Practice Address - Street 1:970 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-3322
Practice Address - Country:US
Practice Address - Phone:410-778-1801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01576213E00000X
AZ0782213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist