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

KIESHA ANDERSON, D.O.

Active

KIESHA ANDERSON, D.O. is a Clinical Neurophysiology healthcare provider located in GRANGER, Indiana. NPI 1720439680 is currently active in the NPPES registry. Verify at CMS.

Clinical Neurophysiology · GRANGER, IN

Registration Details

NPI Number
1720439680
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2016 (10.121639859918 yrs)
Last Updated
Dec 18, 2024
Licenses
02006115A (IN)
02006115A (IN)

Practice Information

Address
6913 N MAIN ST STE 100
GRANGER, IN, 465308039
Browse IN providers · Browse ZIP 46530
Phone
5746478542
Fax
5746478542
Primary Specialty
Clinical Neurophysiology
2084N0600X
Additional Specialty
Clinical Neurophysiology

Other Clinical Neurophysiology Providers in GRANGER, IN

Name Credential NPI
NADIA BOWLING M.D 1992167746
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.