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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KANESHA ANDERSON

Active Sole Proprietor

KANESHA ANDERSON is a Community/Behavioral Health healthcare provider located in PEORIA, Arizona. NPI 1245892199 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · PEORIA, AZ

Registration Details

NPI Number
1245892199
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2019 (7.1520970404252 yrs)
Last Updated
Jul 1, 2019
License
BH5607 (AZ)
Sole Proprietor
Yes

Practice Information

Address
8910 W MONROE ST
PEORIA, AZ, 853456440
Browse AZ providers · Browse ZIP 85345
Phone
6232484347
Fax
6232484355
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in PEORIA, AZ

Name Credential NPI
RADU MARINESCU 1699269647
CRYSTAL ROCHE 1215611645
ROSELINE PIERRE 1710782578
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.