Most Relevant Information
Provider Data
| NPI Number: | 1003379116 |
| Provider Name: | KATHERINE CARLSEN ANDERSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/08/2019 |
| Last Updated: | 10/15/2024 |
Provider Practice Location
1701 N SENATE BLVD # AG012
INDIANAPOLIS
IN
462021239
Practice Location Phone/Fax
| Phone: | 3179623525 |
| Fax: |
Provider Mailing Location
250 N SHADELAND AVE
INDIANAPOLIS
IN
462194959
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |