Individual
MS. KERSTIN M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
395 W COUGAR BLVD STE 501, PROVO, UT 84604-3323
(801) 357-4945
(801) 357-7527
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5564679-4101
UT
235Z00000X
Speech-Language Pathologist
55646794101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55646794101
UTAH STATE LICENSE
UT
Enumeration date
07/25/2006
Last updated
04/06/2026
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