KEVIN NELLIS

PETERSON AND NELLIS PHYSICAL THERAPY PC

Dr KEVIN NELLIS is a male medical professional, specializing in Physical Therapy. He graduated in 1983.

Contact

PETERSON AND NELLIS PHYSICAL THERAPY PC

3070 BELGIUM RD
BALDWINSVILLE
NY
130279239

Tel: 3156380173

KEVIN NELLIS Information

Npi 1790867547
Pac Id 3173512803
Professional Enrollment Id I20111128000212
Last Name NELLIS
First Name KEVIN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1983
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PETERSON AND NELLIS PHYSICAL THERAPY PC
Group Practice Pac Id 8022007756
Number Of Group Practice Members 6
Line 1 Street Address 3070 BELGIUM RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BALDWINSVILLE
State NY
Zip Code 130279239
Phone Number 3156380173
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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