Individual
DR. KATHY M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1930 BURNT BOAT DR., SUITE B, BISMARCK, ND 58503
(701) 490-9596
Mailing address
1930 BURNT BOAT DR., SUITE B, BISMARCK, ND 58503
(701) 490-9596
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11368
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460870
—
ND
Enumeration date
06/19/2007
Last updated
01/06/2025
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