Anderson, Kathryn D

Anderson, Kathryn D is an individual health care provider with primary practice located at 2620 S Western Ave , Marion IN 46953-3556. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Anderson, Kathryn D can be contacted via phone (765) 573-2530.

Contact Information

Primary practice address
2620 S Western Ave Marion IN 46953-3556
Phone: (765) 573-2530
Fax: (765) 573-2535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002537A Indiana

Profile Details

NPI number 1821277641
LBN Legal business name Anderson, Kathryn D
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Dec 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821277641 NPPES
Indiana MEDICAID 200882340
Indiana Other 000000542597

Popular Providers