Anderson, Kelly Marie
Anderson, Kelly Marie is an sole proprietor health care provider with primary practice located at 2920 S Mcintire Dr , Bloomington IN 47403-4221. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Anderson, Kelly Marie can be contacted via phone (812) 323-8112.Contact Information
Primary practice address
2920 S Mcintire Dr
Bloomington IN 47403-4221
Phone: (812) 323-8112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 13008622A | Indiana |
Profile Details
| NPI number | 1316518715 |
|---|---|
| LBN Legal business name | Anderson, Kelly Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2021 |
| Last updated | Jul 7th, 2021 - 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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