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Individual

KIMBERLY ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
900 NORTH COURTENAY PARKWAY, SUITE 1, MERRITT ISLAND, FL 32953
(321) 453-2844
Mailing address
1730 RICHARDSON ROAD, MERRITT ISLAND, FL 32952
(321) 795-7095

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
NA-37168
FL

Other

Enumeration date
05/16/2011
Last updated
05/16/2011
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