Anderson, Kirsten L

Anderson, Kirsten L is an individual health care provider with primary practice located at 1787 Grand Ridge Ct Ne Suite 201, Grand Rapids MI 49525-7042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Kirsten L can be contacted via phone (616) 913-8601.

Contact Information

Primary practice address
1787 Grand Ridge Ct Ne Suite 201 Grand Rapids MI 49525-7042
Phone: (616) 913-8601
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301054890 Michigan

Profile Details

NPI number 1861427262
LBN Legal business name Anderson, Kirsten L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 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 1861427262 NPPES
Michigan MEDICAID 4120150
Michigan MEDICAID 3418539
Michigan MEDICAID 4878776
Michigan MEDICAID 3412393
Michigan MEDICAID 4877410

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