NPI 1316518715

Kelly Marie Anderson

Practitioner Dental Hygienist Bloomington, IN

Practice location

Address: 2920 S McIntire Dr, Bloomington, IN 47403-4221
Phone: (812) 323-8112
Mailing address: 288 Locust Dr, Bloomfield, IN 47424-1026

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 13008622A (IN)

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Registry record

NPI: 1316518715
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2021
Record last updated: 7 Jul 2021

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.