Whalio Doctors

NPI 1295843712

Kim B Anderson, PT

Practitioner Physical Medicine & Rehabilitation Physician Lake Charles, LA

Practice location

Address
1717 E Prien Lake Rd Suite 1, Lake Charles, LA 70601-0400
Phone
(337) 478-5880
Fax
(337) 478-5879
Mailing address
868 Tara Ave, Lake Charles, LA 70611

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 05283 (LA)

Registry record

NPI
1295843712
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Aug 2006
Record last updated
18 Sep 2008

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.