Individual
DR. CATHERINE ALPHA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6651 N OAK TRFY STE 3, GLADSTONE, MO 64118-3353
(816) 203-0456
Mailing address
4506 NW LAKOTA CT, RIVERSIDE, MO 64150-9787
(816) 225-9358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-34354
KS
207Q00000X
Family Medicine Physician
2010001784
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558399014
—
MO
01
—
1785154388
CDS
MO
05
—
200655910A
—
KS
Enumeration date
06/30/2006
Last updated
03/07/2023
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