Kendra M Anderson, is a
Behavior Technician based in St Petersburg, Florida. Kendra M Anderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1907 Tyrone Blvd N, St Petersburg, Florida. She can be reached at her office (for appointments etc.) via phone at
(727) 827-2838.
NPI number for Kendra M Anderson is 1114296308 and her current mailing address is 1907 Tyrone Blvd N, St Petersburg, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114296308.
Healthcare Provider's Profile
| Full Name | Kendra M Anderson |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1907 Tyrone Blvd N, St Petersburg, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114296308
- Provider Enumeration Date: 12/19/2011
- Last Update Date: 11/19/2020
Medical Identifiers
Medical identifiers for Kendra M Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114296308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 66040 (Florida) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendra M Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kendra M Anderson,
1907 Tyrone Blvd N,
St Petersburg, FL 33710-4841
Ph: (727) 827-2838 | Kendra M Anderson,
1907 Tyrone Blvd N,
St Petersburg, FL 33710-4841
Ph: (727) 827-2838 |
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