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Contact Information

JESSICA N ANDERSON
100 DIECKS DR
ELIZABETHTOWN, KY42701-2443
 Phone: 270-319-6570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for JESSICA N ANDERSON · (Female)

NPI # 1760120133
Status Active
Credentials
Entity Individual
Enumeration date 05/25/2022
Last updated 05/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1204489
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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