Anderson, Kristy Ellen

Anderson, Kristy Ellen is an individual health care provider with primary practice located at 7073 Clyo Rd , Centerville OH 45459-4816. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Anderson, Kristy Ellen can be contacted via phone (937) 435-5857.

Contact Information

Primary practice address
7073 Clyo Rd Centerville OH 45459-4816
Fax: (937) 912-4960
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.094249 Ohio
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 35.094249 Ohio

Profile Details

NPI number 1437340304
LBN Legal business name Anderson, Kristy Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Sep 12th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437340304 NPPES
Texas Other 8M2522 BCBS

Popular Providers