Individual
DR. KURT A ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
(563) 421-4400
(563) 386-7349
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32593
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059360
HEALTH ALLIANCE
—
05
—
2157347
—
IA
01
—
29883
WELLMARK BC/BS
IA
01
—
4796890006
DMERC
—
01
—
50309
IOWA HEALTH SOLUTIONS
—
Enumeration date
06/14/2005
Last updated
01/28/2021
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