KELLY MARIE ANDERSON
Individual Provider (NPI-1)
Active
Dental Hygienist
Provider Information
- NPI Number
1316518715- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2920 S MCINTIRE DR, BLOOMINGTON, IN, 474034221
- Phone
- (812) 323-8112
Specialties & Taxonomies
Dental Hygienist
Primary License: IN #13008622A