KATHLEEN MARIE ANDERSON

LEGACY CARE LLC

Dr KATHLEEN MARIE ANDERSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 1989.

Contact

LEGACY CARE LLC

2901 S LYNNHAVEN RD
SUITE 450
VIRGINIA BEACH
VA
234528524

Tel: 7572220300

KATHLEEN MARIE ANDERSON Information

Npi 1104157650
Pac Id 3375700446
Professional Enrollment Id I20120201000021
Last Name ANDERSON
First Name KATHLEEN
Middle Name MARIE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1989
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LEGACY CARE LLC
Group Practice Pac Id 0042458200
Number Of Group Practice Members 68
Line 1 Street Address 2901 S LYNNHAVEN RD
Line 2 Street Address SUITE 450
Marker Of Address Line 2 Suppression
City VIRGINIA BEACH
State VA
Zip Code 234528524
Phone Number 7572220300
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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