Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Marie Anderson

Individual provider Dental Hygienist · NPI 1316518715

Kelly Marie Anderson is a Dental Hygienist in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2021

Practice location Address checks out

2920 S McIntire Dr
Bloomington, IN 47403-4221
Phone: (812) 323-8112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 13008622A (IN)

Record details

NPI number1316518715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2021
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021