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Contact Information

CIARRA C ANDERSON
322 FRONTIER BLVD
STANFORD, KY40484-7730
 Phone: 606-365-2197
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CIARRA C ANDERSON · (Female)

NPI Number 1912792722
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2025
Last updated 04/11/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY Medicaid 1790731081
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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