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Individual

MRS. KIMBERLY RUTH ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., C-FNP

Contact information

Practice address
2591 SOUTH LEATON ROAD, MOUNT PLEASANT, MI 48858
(989) 775-4605
(989) 775-4680
Mailing address
2591 SOUTH LEATON ROAD, MOUNT PLEASANT, MI 48858
(989) 775-4605
(989) 775-4680

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704227621
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5008775960
BCBSM
MI
01
500B910710
BCBSM
MI
Enumeration date
08/30/2006
Last updated
03/01/2016
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