Anderson, Kelly

Anderson, Kelly is an individual health care provider with primary practice located at 207 2Nd Ave Se , Jamestown ND 58401-4272. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Anderson, Kelly can be contacted via phone (701) 252-3376.

Contact Information

Primary practice address
207 2Nd Ave Se Jamestown ND 58401-4272
Phone: (701) 252-3376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 794 North Dakota

Profile Details

NPI number 1992146021
LBN Legal business name Anderson, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2013
Last updated Jul 17th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992146021 NPPES
North Dakota MEDICAID 52820

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