Anderson, Kathleen R

Anderson, Kathleen R is an individual health care provider with primary practice located at 5255 Memphis St Unit 107 , Denver CO 80239-5228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Kathleen R can be contacted via phone (303) 506-6995.

Contact Information

Primary practice address
5255 Memphis St Unit 107 Denver CO 80239-5228
Phone: (303) 506-6995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1159-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 108968-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55137 Kansas

Profile Details

NPI number 1881602456
LBN Legal business name Anderson, Kathleen R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 31st, 2009 - about 16 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 1881602456 NPPES
Kansas Other P00245174 RR MEDICARE GROUP CQ2303
Kansas MEDICAID 200420720A RR MEDICARE GROUP CQ2303

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