MRS. Kelly Elizabeth Anderson

NPI #1619230455 in Lakewood, New York

Provider Information

NPI Number: 1619230455
Entity Type: Individual
Name: MRS. Kelly Elizabeth Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 18, 2012
Last Updated: Jun 18, 2012

Practice Location

Address: 140 MALL BLVD
City: Lakewood
State: New York
ZIP Code: 14750-2014
Phone: (716) 763-9070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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