NPI 1073732400

Kimberly Sue Anderson, CNA

Practitioner Personal Care Attendant Fort Dodge, IA

Practice location

Address: 1140 Avenue B, Fort Dodge, IA 50501-4586
Phone: (515) 576-6308
Mailing address: 1140 Ave. B, Fort Dodge, IA 50501

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence 0739748 (IA)

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Registry record

NPI: 1073732400
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.