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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1982702114 NPPES
Florida MEDICAID 620851700
Florida Other 23001
Florida Other OPC3770

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