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NPI Code Detail

MEDICARE: KIMBERLY LEIGH ANDERSEN

MEDICARE: KIMBERLY LEIGH ANDERSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation SpecialistNE

General Provider Information

NPI Number : 1720943509
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LEIGH ANDERSEN
Provider Business Mailing Address
First Line : 1935 E MILITARY AVE
Second Line :
City : FREMONT
State : NE
Zip : 68025-5489
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1935 E MILITARY AVE
Second Line :
City : FREMONT
State : NE
Zip : 68025-5489
Country : US
Telephone Number : 402-317-0119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ KIMBERLY LEIGH ANDERSEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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