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Individual

MS. KATHLEEN R ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5255 MEMPHIS ST UNIT 107, DENVER, CO 80239-5228
(303) 506-6995
Mailing address
5255 MEMPHIS ST UNIT 107, DENVER, CO 80239-5228
(303) 506-6995

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
108968-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
1159-033
WI
367500000X
Certified Registered Nurse Anesthetist
55137
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200420720A
KS
01
P00245174
RR MEDICARE GROUP CQ2303
KS
Enumeration date
08/03/2006
Last updated
03/31/2009
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