Individual
KIMBERLY MICHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 N MIDWEST BLVD APT 8, MIDWEST CITY, OK 73110-3243
(405) 667-7510
Mailing address
1509 N MIDWEST BLVD APT 8, MIDWEST CITY, OK 73110-3243
(405) 667-7510
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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