Anderson, Kimberly Lee

Anderson, Kimberly Lee is an sole proprietor health care provider with primary practice located at 7110 Oakland Ave Ste 104 , Saint Louis MO 63117-1870. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Kimberly Lee can be contacted via phone (314) 805-9421.

Contact Information

Primary practice address
7110 Oakland Ave Ste 104 Saint Louis MO 63117-1870
Phone: (314) 805-9421
Fax: (314) 644-7144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW002324 Missouri

Profile Details

NPI number 1578550968
LBN Legal business name Anderson, Kimberly Lee
Credentials MSW, LCSW, ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Jul 30th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578550968 NPPES
Missouri MEDICAID 495868614

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