SearchIndianaClinical Neurophysiology Physician

Kiesha Anderson, D.O

NPI 1720439680 · on the registry since 2016

Practice

Address
5314 Lincolnway E
Mishawaka, IN 46544
Phone
(574) 647-8542
Organisation at this address
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
Clinical Neurophysiology Physician
2084N0600X
Also registered as
Neurology Physician
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana