Anderson, Kelly D
Anderson, Kelly D is an individual health care provider with primary practice located at 1201 Piper Blvd Suite 22, Naples FL 34110-1380. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Anderson, Kelly D can be contacted via phone (239) 734-3877.Contact Information
Primary practice address
1201 Piper Blvd Suite 22
Naples FL 34110-1380
Phone: (239) 734-3877
Fax: (239) 734-3879
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC 3770 | Florida |
Profile Details
NPI number | 1982702114 |
---|---|
LBN Legal business name | Anderson, Kelly D |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Dec 6th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982702114 | NPPES |
Florida | MEDICAID | 620851700 | |
Florida | Other | 23001 | |
Florida | Other | OPC3770 |
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