Anderson, Kimberly Kay

Anderson, Kimberly Kay is an individual health care provider with primary practice located at 2421 Coral Court Suite #129, Coralville IA 52241. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Kimberly Kay can be contacted via phone (319) 322-8887.

Contact Information

Primary practice address
2421 Coral Court Suite #129 Coralville IA 52241
Phone: (319) 322-8887
Fax: (319) 356-2587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 05940 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 05940 Iowa

Profile Details

NPI number 1447602743
LBN Legal business name Anderson, Kimberly Kay
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Nov 16th, 2023 - about last year

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 1447602743 NPPES
Iowa MEDICAID 0409321

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