Individual
KATIE L. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1421 LOWES WAY, PLAINFIELD, CT 06374-1963
(860) 317-4000
(860) 317-4030
Mailing address
1421 LOWES WAY, PLAINFIELD, CT 06374-1963
(860) 317-4000
(860) 317-4030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2087
TN
363A00000X
Physician Assistant
Primary
3930
CT
Other
Enumeration date
12/27/2011
Last updated
11/03/2017
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