| Doctor Name: | KIKI ANDERSON |
| NPI Number: | 1225421449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 501 12th St W Palmetto, FL - 342213824 |
| Business Phone Number: | 9415656473 |
| Business Fax Number: | 8773084506 |
| Mailing Address: | Po Box 2131, PALMETTO |
| State: | FL |
| Postal Code: | 342202131 |
| Phone Number: | 9415656473 |
| Fax Number: | 8773084506 |
| NPI Enumeration Date: | 03/12/2015 |
| NPI Last Update Date: | 04/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |