Kathryn Kelly Anderson, PTA is a
Physical Medicine & Rehabilitation physician based in Callahan, Florida. Kathryn Kelly Anderson is licensed to practice in Florida (license number PTA24543) and her current practice location is 45390 Green Ave, Callahan, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 879-1223.
NPI number for Kathryn Kelly Anderson is 1023517828 and her current mailing address is Po Box 1609, Callahan, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023517828.
Physician's Profile
Full Name | Kathryn Kelly Anderson |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 45390 Green Ave, Callahan, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023517828
- Provider Enumeration Date: 02/07/2018
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Kathryn Kelly Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023517828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PTA24543 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Kelly Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathryn Kelly Anderson, PTA Po Box 1609, Callahan, FL 32011-1609 Ph: (904) 879-1223 | Kathryn Kelly Anderson, PTA 45390 Green Ave, Callahan, FL 32011-3711 Ph: (904) 879-1223 |
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