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Individual

KIMBERLY A ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12655 OLIVE BLVD, 4TH FLOOR, SAINT LOUIS, MO 63141-6362
(314) 851-1000
(314) 851-4445
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1000
(314) 851-4445

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041267222
IL
163W00000X
Registered Nurse
Primary
105481
MO

Other

Enumeration date
07/30/2010
Last updated
07/30/2010
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