Individual
KALEEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CRANE AVENUE, STOCKETT, MT 59480
(406) 736-5830
Mailing address
PO BOX 118, STOCKETT, MT 59480-0118
(406) 736-5830
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
335187
MT
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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