Individual
KATELYN MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 636-2586
Mailing address
561 POLECAT ROAD, LANDISBURG, PA 17040
(717) 636-2586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062741
PA
Other
Enumeration date
07/23/2021
Last updated
08/02/2022
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