Anderson, Kayla Lynne

Anderson, Kayla Lynne is an individual health care provider with primary practice located at 12 N 64Th St , Belleville IL 62223-3809. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Kayla Lynne can be contacted via phone (618) 397-0900.

Contact Information

Primary practice address
12 N 64Th St Belleville IL 62223-3809
Phone: (618) 397-0900
Fax: (618) 877-9250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149015970 Illinois

Profile Details

NPI number 1457453615
LBN Legal business name Anderson, Kayla Lynne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Nov 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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