Individual
KATHY J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188
Mailing address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22911
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080122362
RAILROAD MEDICARE
IA
05
—
1194910
—
IA
01
—
25671
IOWA HEALTH SOLUTIONS
IA
01
—
45019
WELLMARK/BLUE CROSS
IA
01
—
IA0121
JOHN DEERE HEALTH CARE
IA
Enumeration date
08/11/2005
Last updated
04/27/2021
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