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Kiesha Anderson, DO
Clinical Neurophysiology Physician in Granger, Indiana
NPI 1720439680

Kiesha Anderson is a Clinical Neurophysiology Physician based in Granger, IN and is specialized in Clinical Neurophysiology. Kiesha Anderson practices in Granger, IN and has the professional credentials of DO. The NPI Number for Kiesha Anderson is 1720439680 and holds a License No. 02006115A (Indiana).

The current practice location address for Kiesha Anderson is 6913 N Main St Ste 100, Granger, IN and can be reached out via phone at 574-647-8542 and via fax at 574-647-8542.

Location: 6913 N Main St Ste 100, Granger, IN, 46530-1380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720439680
Provider Name
Kiesha Anderson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
6913 N Main St Ste 100, Granger, IN, 46530-1380
Phone Number
574-647-8542
Fax Number
574-647-8542
Provider Enumeration Date
06/22/2016
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
201374980 05 IN
institution
Provider Business Practice Location Address Details
Address
6913 N Main St Ste 100
City
Granger
State
Indiana
Zip
46530-8039
Phone Number
574-647-8542
Fax Number
574-647-8542
person
Provider Business Mailing Address Details
Address
6913 N Main St Ste 100
City
Granger
State
Indiana
Zip
46530-8039
Phone Number
574-647-8542
Fax Number
574-647-8542
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
02006115A (Indiana)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
02006115A (Indiana)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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