Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTINE S ANDERSON, PA
ActiveKRISTINE S ANDERSON, PA is a Surgical Physician Assistant healthcare provider located in CHAMPAIGN, Illinois. NPI 1023037173 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1023037173
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2006 (20.04091606262 yrs)
- Last Updated
- May 8, 2014
- License
-
PA10004827 (WA)
Practice Information
- Address
-
1802 S MATTIS AVECHAMPAIGN, IL, 618215923Browse IL providers · Browse ZIP 61821
- Phone
- 2173833260
- Fax
- 2173834459
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.