Individual
KELLE O ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1687 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6701
(715) 425-7075
Mailing address
1687 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6701
(715) 425-7075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44896
MN
207Q00000X
Family Medicine Physician
Primary
45023020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34288200
—
WI
Enumeration date
08/30/2005
Last updated
09/12/2019
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