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Individual
DR. EVELYN KELLY ANDERSON
Active
Individual
DR. EVELYN KELLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9401437
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017WA
BCBSNC
NC
05
—
5903343
—
NC
01
—
6594700
CIGNA
—
Enumeration date
06/10/2006
Last updated
03/04/2008
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