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Contact Information

KORTNEY L ANDERSON, PA-C
2402 WINNEBAGO ST
MADISON, WI53704-5341
 Phone: 608-828-7603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KORTNEY L ANDERSON · (Female)

NPI Number 1154844488
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/19/2017
Last updated 07/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 4360-23
  • WI Medicaid 1154844488
Hospital affiliation(s)
  • UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care)
    600 HIGHLAND AVENUE
    MADISON, WI 53792
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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