KELLY MARIE ANDERSON

BLOOMINGTON, IN
NPI1316518715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IN  13008622A)
Enumeration Date2021-07-07
Last Update Date2021-07-07
Business Address
KELLY MARIE ANDERSON
2920 S MCINTIRE DR
BLOOMINGTON, IN 47403-4221
Phone number: 812-323-8112
Mailing Address
KELLY MARIE ANDERSON
288 LOCUST DR
BLOOMFIELD, IN 47424-1026
Phone number: 812-545-5209