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Kathryn Kelly Anderson

Physical Medicine & Rehabilitation Doctor

45390 Green Ave
Callahan , Florida 32011-3711

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Kathryn Kelly Anderson

Physical Medicine & Rehabilitation Doctor

45390 Green Ave
Callahan , Florida 32011-3711

(904) 979-4986

Write a Review Save Call

Kathryn Kelly Anderson

Physical Medicine & Rehabilitation Doctor

45390 Green Ave
Callahan , Florida 32011-3711

(904) 979-4986 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Medicine & Rehabilitation Doctor

Languages spoken

  • English

Location

45390 Green Ave Callahan , Florida 32011-3711

First Address

  • Kathryn Kelly Anderson
  • Po Box 1609
  • Callahan, FL
  • Zip : 32011-1609
  • Fax : (904) 979-4986
  • Phone : (904) 879-1223

Second Address

  • Kathryn Kelly Anderson
  • 45390 Green Ave
  • Callahan, FL
  • Zip : 32011-3711
  • Fax : (904) 879-4986
  • Phone : (904) 879-1223

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FAQs


Where did Kathryn Kelly Anderson attend graduate school?

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Where did Kathryn Kelly Anderson do her residency?

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Where did Kathryn Kelly Anderson do her fellowship?

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Is Kathryn Kelly Anderson board certified?

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What type of doctor is Kathryn Kelly Anderson

Physical Medicine & Rehabilitation Doctor

In what state does Kathryn Kelly Anderson practice in?

Florida

Where is Kathryn Kelly Anderson ’s practice located?

45390 Green Ave , Callahan, Florida, 32011-3711

What is Kathryn Kelly Anderson ’s gender?

Female

Is Kathryn Kelly Anderson a sole practitioner?

No

Is Kathryn Kelly Anderson accepting new patients?

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What languages does Kathryn Kelly Anderson speak?

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Does Kathryn Kelly Anderson accept insurance?

Yes, Kathryn Kelly Anderson accepts insurance

Does Kathryn Kelly Anderson offers telemedicine?

Kathryn Kelly Anderson has not indicated if she offers telemedicine

What is Kathryn Kelly Anderson ’s professional license number?

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What is Kathryn Kelly Anderson ’s NPI number?

1023517828

Does Kathryn Kelly Anderson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208100000X Physical Medicine & Rehabilitation Doctor PTA24543 FL

National Provider Identifier

NPI 1023517828
Provider Name Kathryn Kelly Anderson
First Address Callahan, FL 32011-1609
Second Address Callahan, FL 32011-3711
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 07/02/2018
Last Update Date 17/03/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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