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Individual

DR. KIMBERLY J ANDRESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D CCC-A

Contact information

Practice address
2421 WEST FAIDLEY AVENUE, GRAND ISLAND, NE 68803-4328
(308) 384-2101
(308) 381-4787
Mailing address
2421 WEST FAIDLEY AVENUE, GRAND ISLAND, NE 68803-4328
(308) 384-2101
(308) 381-4787

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
2201001204
VA
237600000X
Audiologist-Hearing Aid Fitter
108
NE
237600000X
Audiologist-Hearing Aid Fitter
Primary
288
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025275800
NE
01
248044
ANTHEM OF VA - DANVILLE
VA
01
463627
ANTHEM OF VA - LYN
VA
05
47073801200
NE
01
540964595
PRIMARY PHYSICIAN CARE-DA
VA
01
541361858
PRIMARY PHYSICIAN CARE-LY
VA
05
9451501
VA
05
9451510
VA
01
P00014101
RAILROAD-LYNCHBURG
VA
01
P00014119
RAILROAD-DANVILLE
VA
Enumeration date
07/29/2005
Last updated
06/29/2012
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