Doctor Name: | MS. KAREN SUE ANDERSON |
NPI Number: | 1245440296 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1100473 |
Business Practice Address: | 240 W. 19th Street Fredonia, KS - 670471718 |
Business Phone Number: | 6203784163 |
Business Fax Number: | |
Mailing Address: | 12000 S Moonlight Rd, OLATHE |
State: | KS |
Postal Code: | 660619692 |
Phone Number: | 9132549143 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 1100473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |