Anderson, Kimberly Ruth

Anderson, Kimberly Ruth is an individual health care provider with primary practice located at 2591 South Leaton Road , Mount Pleasant MI 48858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Kimberly Ruth can be contacted via phone (989) 775-4605.

Contact Information

Primary practice address
2591 South Leaton Road Mount Pleasant MI 48858
Phone: (989) 775-4605
Fax: (989) 775-4680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704227621 Michigan

Profile Details

NPI number 1174632012
LBN Legal business name Anderson, Kimberly Ruth
Credentials R.N., C-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 1st, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174632012 NPPES
Michigan Other 5008775960 BCBSM
Michigan Other 500B910710 BCBSM

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