Individual
KIMBERLY R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2816 E JACKSON ST, HUGO, OK 74743-4250
(580) 326-5350
Mailing address
PO BOX 1030, ANTLERS, OK 74523-1030
(580) 298-2830
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
03/04/2010
Last updated
06/05/2012
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