Individual
KATHLEEN ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
11711 LIVINGSTON RD, FORT WASHINGTON, MD 20744-5151
(301) 203-2250
Mailing address
8186 LARK BROWN RD, STE 201, ELKRIDGE, MD 21075-6434
(301) 203-2250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053150
PA
Other
Enumeration date
10/29/2007
Last updated
05/29/2018
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