Individual
KATHARINE RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 GENEVA PKWY N # 102, LAKE GENEVA, WI 53147-5701
(262) 248-4105
Mailing address
32434 N ALMOND RD, GRAYSLAKE, IL 60030-9707
(224) 944-6535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6266-12
WI
Other
Enumeration date
01/15/2025
Last updated
07/01/2025
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