Andersen, Kathleen

Andersen, Kathleen is an individual health care provider with primary practice located at 555 Petaluma Ave #A, Sebastopol CA 95472-4224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Andersen, Kathleen can be contacted via phone (707) 823-3210.

Contact Information

Primary practice address
555 Petaluma Ave #A Sebastopol CA 95472-4224
Fax: (707) 823-1710
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G58153 California

Profile Details

NPI number 1679570899
LBN Legal business name Andersen, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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