Anderson, Kimberly Sue

Anderson, Kimberly Sue is an sole proprietor health care provider with primary practice located at 1140 Avenue B , Fort Dodge IA 50501-4586. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Anderson, Kimberly Sue can be contacted via phone (515) 576-6308.

Contact Information

Primary practice address
1140 Avenue B Fort Dodge IA 50501-4586
Phone: (515) 576-6308
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 0739748 Iowa

Profile Details

NPI number 1073732400
LBN Legal business name Anderson, Kimberly Sue
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 9th, 2007 - about 17 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 1073732400 NPPES
Iowa MEDICAID 0739748

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