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NPI Code Detail

MEDICARE: DR. KATHY IRENE ANDERSON DPM

MEDICARE: DR. KATHY IRENE ANDERSON DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist1603TX

General Provider Information

NPI Number : 1356325039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHY IRENE ANDERSON DPM
Provider Business Mailing Address
First Line : 5500 ARMSTRONG DR
Second Line :
City : BELLEVUE
State : MI
Zip : 49037
Country : US
Telephone Number : 269-966-5600
Fax Number :
Provider Business Practice Location Address
First Line : 5500 ARMSTRONG RD
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49037-7314
Country : US
Telephone Number : 269-966-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 03/06/2025

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Directions to “ DR. KATHY IRENE ANDERSON DPM” Practice Location

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