# DR. CATHERINE ALPHA ANDERSON

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

## Provider details

- **NPI number:** 1558399014
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 05-34354 | KS | Yes |
| 207Q00000X | Family Medicine Physician | 2010001784 | MO | — |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1558399014 | — | MO |
| 01 | — | 1785154388 | CDS | MO |
| 05 | — | 200655910A | — | KS |