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Individual
MRS. KATHERINE JOHNSON ANDERSON
Active
Individual
MRS. KATHERINE JOHNSON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
971
SC
363AM0700X
Medical Physician Assistant
971
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259PA
—
SC
01
—
971
SC LIC.
—
Enumeration date
05/17/2006
Last updated
04/23/2026
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