Anderson, Kim G

Anderson, Kim G is an sole proprietor health care provider with primary practice located at 304 Ponce Blvd Suite 1, Jacksonville FL 32218-3863. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Anderson, Kim G can be contacted via phone (904) 504-4563.

Contact Information

Primary practice address
304 Ponce Blvd Suite 1 Jacksonville FL 32218-3863
Phone: (904) 504-4563
Fax: (904) 751-3906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA30630 Florida

Profile Details

NPI number 1023206760
LBN Legal business name Anderson, Kim G
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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