NPI 1992333215 · live from the CMS NPI Registry
Kyle John Anderson, MD
Anesthesiology in Plymouth, MN. National Provider Identifier 1992333215, active.
NPI record
| NPI | 1992333215 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 14700 28th Ave N Ste 20, Plymouth, MN 55447 |
| Practice phone | 763-559-3779 |
| Mailing address | Po Box 47159, Plymouth, MN 55447 |
| Enumerated | March 31, 2020 |
| Last updated | July 10, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 76658 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.