Individual
KERI ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-1511
(320) 762-6120
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308
(320) 762-1511
(320) 762-6101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11364
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992147797
—
MN
Enumeration date
07/22/2013
Last updated
06/06/2025
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