# KATHY J ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285636100
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 22911 | IA | Yes |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 04/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080122362 | RAILROAD MEDICARE | IA |
| 05 | — | 1194910 | — | IA |
| 01 | — | 25671 | IOWA HEALTH SOLUTIONS | IA |
| 01 | — | 45019 | WELLMARK/BLUE CROSS | IA |
| 01 | — | IA0121 | JOHN DEERE HEALTH CARE | IA |