Kimberli Ann Anderson
Individual provider Active NPI Community Health Worker · Orem, UT
NPI 1013227982 · NPPES record last updated Oct 13, 2010
Key facts
- NPI
- 1013227982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1358 W Business Park Dr
Orem, UT 84058-2203 - Phone
- (801) 373-1197
- NPI assigned
- Oct 13, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1358 W Business Park Dr
Orem, UT 84058-2203
Mailing address
773 N 2770 W
Provo, UT 84601-1185
Phone (801) 734-0168
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.