Individual
KATHERINE J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
116 DEFENSE HWY, SUITE 400, ANNAPOLIS, MD 21401-7027
(410) 897-9841
(410) 897-9852
Mailing address
116 DEFENSE HWY, SUITE 400, ANNAPOLIS, MD 21401-7027
(410) 897-9841
(410) 897-9852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D72375
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D72375
MARYLAND STATE LICENSE
MD
Enumeration date
06/02/2008
Last updated
07/06/2012
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