Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARIE ANDERSON
Active Sole ProprietorDental Hygienist · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1316518715
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2021 (4.7990109522625 yrs)
- Last Updated
- Jul 7, 2021
- License
-
13008622A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2920 S MCINTIRE DRBLOOMINGTON, IN, 474034221Browse IN providers · Browse ZIP 47403
- Phone
- 8123238112
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.