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Individual
MRS. KATHERINE ANDERSON ANDREWS
Active
Individual
MRS. KATHERINE ANDERSON ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3104
SC
363A00000X
Physician Assistant
TL3104
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3881PA
—
SC
01
—
SCE3415019
MEDICARE PIN
SC
01
—
SCE3419068
MEDICARE PIN
SC
Enumeration date
11/18/2018
Last updated
05/05/2026
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