Individual provider · Type 1 NPI

Kimberly Ann Anderson

Student in an Organized Health Care Education/Training Program · Duluth, MN

NPI number 1063365609 Active

Practice location

1200 Kenwood Ave
Duluth, MN 55811-4199

Call (218) 625-4408 Map

Mailing address

325 S Lake Ave Ste 604
Duluth, MN 55802-2364

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2482161 (MN)

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 1063365609

Kimberly Ann Anderson's National Provider Identifier is 1063365609, issued on Feb 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Duluth, MN. The record was last updated on Feb 16, 2026.