Individual
LINDA JEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(502) 626-6225
Mailing address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3374S
KY
Other
Enumeration date
05/23/2005
Last updated
10/24/2011
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