KIESHA ANDERSON

GRANGER, IN
NPI1720439680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: IN  02006115A)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: IN  02006115A)
Enumeration Date2016-06-22
Last Update Date2024-12-18
Business Address
KIESHA ANDERSON D.O.
6913 N MAIN ST STE 100
GRANGER, IN 46530-8039
Phone number: 574-647-8542
Mailing Address
KIESHA ANDERSON D.O.
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-3725