Kristine S Anderson PA

NPI 1023037173 - Physician Assistant - 363AS0400X

NPI Details
NPI 1023037173
Gender Female
Enumeration Date 07/19/2006
Last Updated 05/08/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1802 S MATTIS AVE
CHAMPAIGN IL, 61821-5923, US
Phone (217) 383-3260
Fax (217) 383-4459
Business Location
611 W. PARK ST.
URBANA IL, 61801-2500, US
Phone (217) 383-6941
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Washington
License Number PA10004827
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According to our database, Kristine S Anderson PA NPI is 1023037173, taxonomy code is 363AS0400X and license number is PA10004827, license state is located at Washington. Kristine S Anderson PA physically located at 1802 S Mattis Ave, Champaign IL, 61821-5923. NPI Number Kristine S Anderson PA has the Individual type.

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1023037173 NPI number is provided on an as is basis without warranty of any kind. 1023037173 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine S Anderson PA are for informational purposes only.