Individual
MRS. KIMBERLY DONALDSON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA - ED, IECE
Contact information
Practice address
532 MERRYWOOD DR, BENTON, KY 42025-7642
(270) 556-9561
Mailing address
532 MERRYWOOD DR, BENTON, KY 42025-7642
(270) 556-9561
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
19901475
KY
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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