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Kailey Anderson
NPI 1679328223 · on the registry since 2024
Practice
- Address
- 12567 5th Ave N Ste 100
Zimmerman, MN 55398 - Phone
- (763) 856-9955
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 163WC0400X
163WC0400X
- Also registered as
- 163W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota