Individual provider · Type 1 NPI

Kelly Anderson

Student in an Organized Health Care Education/Training Program · Augusta, ME

NPI number 1003700709 Active

Practice location

15 E Chestnut St
Augusta, ME 04330-5736

Call (207) 626-1561 Map

Fax (207) 626-1849

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTP25119 (ME)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003700709

Kelly Anderson's National Provider Identifier is 1003700709, issued on Jun 6, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, ME. The record was last updated on Jun 6, 2025.