NPI 1649816182 · live from the CMS NPI Registry
Kevin Ryan Anderson
Social Worker in Ammon, ID. National Provider Identifier 1649816182, active.
NPI record
| NPI | 1649816182 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 2705 E 17th St, Ammon, ID 83406 |
| Practice phone | 208-346-7500 |
| Enumerated | November 19, 2019 |
| Last updated | November 19, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.