Individual
JOE V ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2889 W HIGHWAY 40, KEARNEY, NE 68845-4086
(417) 229-4964
Mailing address
2889 W HIGHWAY 40, KEARNEY, NE 68845-4086
(417) 229-4964
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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