Active NPIIndividual provider

Kerry G Anderson

Physician Assistant in Moorestown, New Jersey

NPI Number1679233977
Practice location
401 Young Ave Ste 260A, Moorestown, NJ 08057-3130
Fax
856-291-8750
Last updated
January 18, 2023

Kerry Grace Anderson is a Physician Assistant based in Moorestown, NJ. Kerry Grace Anderson practices in Moorestown, NJ. The NPI Number for Kerry Grace Anderson is 1679233977 and holds a License No. 25MP00745700. The current practice location address for Kerry Grace Anderson is 401 Young Ave Ste 260A, Moorestown, NJ 08057-3130 and can be reached out via phone at 856-291-8756 and via fax at 856-291-8750.

Provider Profile Details

NPI Number
1679233977
Provider Name
Kerry Grace Anderson
Provider Entity Type
Individual
Gender
Female
Address
401 Young Ave Ste 260A, Moorestown, NJ 08057-3130
Phone Number
856-291-8756
Fax Number
856-291-8750
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 28, 2021
Last Update Date
January 18, 2023
Certification Date
January 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Young Ave Ste 260A
Moorestown, NJ 08057-3130
Zip
08057-3130
Phone Number
856-291-8756
Fax Number
856-291-8750
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0340
Fax Number
215-871-6702

License Information

License Number
25MP00745700
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kerry G Anderson?

The NPI number of Kerry G Anderson is 1679233977. It was assigned on December 28, 2021 and is currently active in the NPPES registry.

What is the specialty of Kerry G Anderson?

Kerry G Anderson is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed under license number 25MP00745700.

Where does Kerry G Anderson practice?

The practice location is 401 Young Ave Ste 260A, Moorestown, NJ 08057-3130. The office can be reached at 856-291-8756 (phone) or 856-291-8750 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679233977 directly on the NPPES registry website.

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