Anderson, Kipley Verne

Anderson, Kipley Verne is an sole proprietor health care provider with primary practice located at 2959 Hwy 275 , Hamburg IA 51640. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Anderson, Kipley Verne can be contacted via phone (712) 382-1515.

Contact Information

Primary practice address
2959 Hwy 275 Hamburg IA 51640
Phone: (712) 382-1515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 078742 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D-078742 Iowa

Profile Details

NPI number 1487792131
LBN Legal business name Anderson, Kipley Verne
Credentials CRNA,BSN,MS,CH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Mar 9th, 2017 - about 8 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 1487792131 NPPES
Missouri MEDICAID 913640942
Missouri MEDICAID 1487792131

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