Individual
KRISTIN LOUISE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 788-6911
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.000054170
CO
208M00000X
Hospitalist Physician
Primary
DR.000054170
CO
390200000X
Student in an Organized Health Care Education/Training Program
R72164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52625770
—
CO
01
—
P01387993
RAIL ROAD MEDICARE
CO
Enumeration date
07/07/2010
Last updated
04/13/2015
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