# KYMBELLA HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kymbella Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710674288
- **Authorized official:** DR. KIMBERLY G ANDERSON DPN, APRN (OWNER)
- **Authorized official phone:** (772) 473-6824

## Contact information

- **Practice address:** 6640 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-1421
- **Practice address phone:** (888) 596-2352
- **Mailing address:** 4089 42ND SQ, VERO BEACH, FL 32967-1963
- **Mailing address phone:** (772) 473-6824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2023
- **Last updated:** 04/24/2023