Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 29514 | NE |
N | 207XS0106X | Orthopaedic Hand Surgeon | 29514 | NE |
NPI | 1023306289 |
---|---|
Provider Name | Dr. Paul Jens Nielsen |
First Address | Kearney, NE 68845-2909 |
Second Address | Kearney, NE 68845-2909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2011 |
Last Update Date | 02/03/2021 |