Anderson, Kimbal W

Anderson, Kimbal W is an sole proprietor health care provider with primary practice located at 397 Nw Johns Ln , Pendleton OR 97801-1458. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Anderson, Kimbal W can be contacted via phone (541) 276-2758.

Contact Information

Primary practice address
397 Nw Johns Ln Pendleton OR 97801-1458
Phone: (541) 276-2758
Fax: (541) 276-2758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 200860001CRNA Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP 60215085 Washington

Profile Details

NPI number 1831371558
LBN Legal business name Anderson, Kimbal W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2007
Last updated Mar 9th, 2012 - about 12 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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