Individual
KIPLEY VERNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA,BSN,MS,CH
Contact information
Practice address
2959 HWY 275, HAMBURG, IA 51640
(712) 382-1515
Mailing address
1231 200TH ST, SHENANDOAH, IA 51601-4501
(712) 246-1774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
078742
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
D-078742
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487792131
—
IA
05
—
913640942
—
MO
Enumeration date
02/02/2007
Last updated
03/09/2017
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