Individual
MRS. KIM B ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1717 E PRIEN LAKE RD, SUITE 1, LAKE CHARLES, LA 70601-0400
(337) 478-5880
(337) 478-5879
Mailing address
868 TARA AVE, LAKE CHARLES, LA 70611
(337) 885-6536
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05283
LA
Other
Enumeration date
08/25/2006
Last updated
09/18/2008
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