Individual
KASHAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
652 S MEDICAL CENTER DR, STE 420, ST GEORGE, UT 84790-7049
(435) 251-6800
(435) 251-3701
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-6800
(435) 251-3701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8346801-1206
UT
363AS0400X
Surgical Physician Assistant
8346801-1206
UT
Other
Enumeration date
08/18/2016
Last updated
09/30/2021
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