Individual
DR. KURT M ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 E 3RD ST, SUITE 201, OTTUMWA, IA 52501-2937
(641) 684-0044
(641) 684-9015
Mailing address
123 E 3RD ST, SUITE 201, OTTUMWA, IA 52501-2937
(641) 684-0044
(641) 684-9015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25465
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258459
—
IA
Enumeration date
07/07/2005
Last updated
07/08/2007
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