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Contact Information

KIRK B ANDERSON
4500 BLUE STEM WAY
MOORHEAD, MN56560-7079
 Phone: 701-388-0687
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for KIRK B ANDERSON · (Male)

NPI Number 1386468668
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2024
Last updated 11/13/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
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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