Kathryn Kelly Anderson
Physical Medicine & Rehabilitation Doctor
45390 Green Ave
Callahan
, Florida 32011-3711
Kathryn Kelly Anderson
Physical Medicine & Rehabilitation Doctor
45390 Green Ave
Callahan
, Florida 32011-3711
(904) 979-4986
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
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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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.