Individual
KIMBERLY SUSAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 W 4TH ST, LEWES, DE 19958-1284
(404) 775-9366
Mailing address
708 W 4TH ST, LEWES, DE 19958-1284
(404) 775-9366
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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