Anderson, Kathryn D

Anderson, Kathryn D is an individual health care provider with primary practice located at 1411 W Bella Dr , Marion IN 46953-5250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Anderson, Kathryn D can be contacted via phone (765) 651-6637.

Contact Information

Primary practice address
1411 W Bella Dr Marion IN 46953-5250
Phone: (765) 651-6637
Fax: (765) 651-6639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71002537A Indiana

Profile Details

NPI number 1821277641
LBN Legal business name Anderson, Kathryn D
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Jun 22nd, 2011 - about 14 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 1821277641 NPPES
Indiana MEDICAID 200882340
Indiana Other 000000542597

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