Anderson, Kathy J

Anderson, Kathy J is an individual health care provider with primary practice located at 5409 Avenue O , Fort Madison IA 52627-9601. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Anderson, Kathy J can be contacted via phone (319) 376-2134.

Contact Information

Primary practice address
5409 Avenue O Fort Madison IA 52627-9601
Phone: (319) 376-2134
Fax: (319) 376-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 22911 Iowa

Profile Details

NPI number 1285636100
LBN Legal business name Anderson, Kathy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 27th, 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 1285636100 NPPES
Iowa MEDICAID 1194910
Iowa Other 45019
Iowa Other 080122362
Iowa Other IA0121
Iowa Other 25671

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