Individual
KASUMI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 MISSILE AVE, MINOT AFB, ND 58705-5003
(017) 723-5190
Mailing address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5190
(701) 723-5391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
04/14/2025
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