Individual provider · NPI-1

Danielle Marie Anderson, M.D.

Family Medicine · Lexington, KY

NPI number1164956397
StatusActive
Last updated in NPPESJun 28, 2021

Details

NPI
1164956397
Entity type
Individual (NPI-1)
Name
Danielle Marie Anderson
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2017
Certification date
Jun 28, 2021
Last updated
Jun 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine52880KYYes
2084A0401X Psychiatry & Neurology, Addiction Medicine52880KY
2083A0300X Preventive Medicine, Addiction Medicine52880KY

Practice location

245 Fountain Ct
Ste 225
Lexington, KY 40509

Phone 859-323-6021 · Fax 859-323-1670

Mailing address

24 Fountain Court
Suite 225
Lexington, KY 40509

Phone 859-323-6021 · Fax 859-323-1670

Other practice locations

24 Fountain Court
Suite 225
Lexington, KY 40509

Phone 859-323-6021 · Fax 859-323-1670

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