Provider Demographics
NPI:1912420613
Name:NELSON, KATHERINE LYNNE (GENETIC COUNSELOR)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LYNNE
Last Name:NELSON
Suffix:
Gender:F
Credentials:GENETIC COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 SHAWNEE MISSION PKWY STE 310
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2005
Mailing Address - Country:US
Mailing Address - Phone:913-574-0463
Mailing Address - Fax:
Practice Address - Street 1:2330 SHAWNEE MISSION PARKWAY
Practice Address - Street 2:SUITE 310, MAILSTOP 5012
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205
Practice Address - Country:US
Practice Address - Phone:913-574-0463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS