NPI 1588101224

Andy Anderson

Practitioner Prevention Professional Blue Springs, MO

Practice location

Address: 2705 NW 3rd Ter, Blue Springs, MO 64014
Phone: (816) 260-6728

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 2016041270 (MO)

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Registry record

NPI: 1588101224
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2017
Record last updated: 19 Jan 2017

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.