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Individual
JAMES KYLE ANDERSON
Active
Individual
JAMES KYLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
47836
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147121
—
MT
05
—
0599407
—
IA
01
—
1044923
PREFERRED ONE
—
01
—
135228
UCARE
MN
01
—
153841
FV CAREGIVER
MN
01
—
19-00018
MEDICA PRIMARY
MN
01
—
19-00701
MEDICA CHOICE
MN
05
—
210077100
—
MN
01
—
2380609
AMERICA'S PPO (ARAZ)
—
05
—
34708900
—
WI
01
—
B666
CHAMPUS
—
01
—
HP55786
HEALTHPARTNERS
—
Enumeration date
09/11/2006
Last updated
10/23/2017
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