Individual
KEVIN KALIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7409 OAK CT, HORACE, ND 58047-9531
(701) 371-6709
Mailing address
7409 OAK CT, HORACE, ND 58047-9531
(701) 371-6709
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102028
MN
225XP0200X
Pediatric Occupational Therapist
285
ND
Other
Enumeration date
09/04/2007
Last updated
03/21/2018
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