| Doctor Name: | KAY LOUISE ANDERSON |
| NPI Number: | 1083907075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC,CDE |
| License Number: | 26NR08727000 |
| Business Practice Address: | 11 Overlook Rd Suite Ll102 Summit, NJ - 079013577 |
| Business Phone Number: | 9085225512 |
| Business Fax Number: | 9085225858 |
| Mailing Address: | 11 Overlook Rd, Suite Ll102 SUMMIT |
| State: | NJ |
| Postal Code: | 079013577 |
| Phone Number: | 9085225512 |
| Fax Number: | 9085225858 |
| NPI Enumeration Date: | 05/24/2011 |
| NPI Last Update Date: | 05/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 26NR08727000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |