Andersen, Kurt A

Andersen, Kurt A is an individual health care provider with primary practice located at 1345 W Central Park Ave , Davenport IA 52804-1844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andersen, Kurt A can be contacted via phone (563) 421-4400.

Contact Information

Primary practice address
1345 W Central Park Ave Davenport IA 52804-1844
Phone: (563) 421-4400
Fax: (563) 386-7349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32593 Iowa

Profile Details

NPI number 1477558799
LBN Legal business name Andersen, Kurt A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 28th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477558799 NPPES
Other 059360 HEALTH ALLIANCE
MEDICAID 2157347 HEALTH ALLIANCE
Other 29883 HEALTH ALLIANCE
Other 50309 HEALTH ALLIANCE
Other 4796890006 HEALTH ALLIANCE

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