Individual
KATHLEEN MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2300 DUMBARTON RD, RICHMOND, VA 23228-6014
(804) 874-7949
Mailing address
PO BOX 693, MIDLOTHIAN, VA 23113-0693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024164345
VA
363LA2100X
Acute Care Nurse Practitioner
0024164345
VA
Other
Enumeration date
01/22/2010
Last updated
10/02/2014
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