Individual
KIMBERLEY ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7500 HANOVER PKWY, STE 104, GREENBELT, MD 20770-2010
(301) 220-0672
Mailing address
7500 HANOVER PKWY, STE 104, GREENBELT, MD 20770-2010
(301) 220-0672
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0034747
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010167200
—
MD
Enumeration date
07/24/2006
Last updated
11/25/2014
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