KATHLEEN R ANDERSON

Dr KATHLEEN R ANDERSON is a female medical professional, specializing in Clinical Social Worker. She graduated in 2004.

Contact

1055 E CENTERVILLE STATION RD
DAYTON
OH
454595500

Tel:

KATHLEEN R ANDERSON Information

Npi 1407005804
Pac Id 1355402728
Professional Enrollment Id I20081203000511
Last Name ANDERSON
First Name KATHLEEN
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2004
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1055 E CENTERVILLE STATION RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DAYTON
State OH
Zip Code 454595500
Phone Number
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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