Individual
KYLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4031
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4031
(419) 222-6622
(419) 224-0015
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.004299
OH
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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