Individual provider · Type 1 NPI

Kiesha Anderson, DO

Clinical Neurophysiology Physician · Mishawaka, IN

NPI number 1720439680 Active

Practice location

5314 Lincolnway E
Mishawaka, IN 46544-4249

Call (574) 647-8542 Map

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X02006115A (IN)
Clinical Neurophysiology Physician Primary 2084N0600X02006115A (IN)

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

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About NPI 1720439680

Kiesha Anderson, DO's National Provider Identifier is 1720439680, issued on Jun 22, 2016. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Mishawaka, IN. The record was last updated on May 18, 2026.