Individual
KATHRYN KELLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
45390 GREEN AVE, CALLAHAN, FL 32011-3711
(904) 879-1223
(904) 879-4986
Mailing address
PO BOX 1609, CALLAHAN, FL 32011-1609
(904) 879-1223
(904) 979-4986
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA24543
FL
Other
Enumeration date
02/07/2018
Last updated
03/17/2018
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