Individual provider · NPI-1

Kortney L Anderson, PA-C

Physician Assistant, Medical · Madison, WI

NPI number1154844488
StatusActive
Last updated in NPPESJul 10, 2024

Details

NPI
1154844488
Entity type
Individual (NPI-1)
Name
Kortney L Anderson
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2017
Certification date
Jul 10, 2024
Last updated
Jul 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical4360-23WIYes
363A00000X Physician Assistant4360-23WI

Other names

  • Kortney Krueger (Former Name)

Practice location

2402 Winnebago St
Madison, WI 53704-5341

Phone 608-828-7603

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Fax 608-252-8268

Other practice locations

2915 Kerry Forest Pkwy Ste 103
Tallahassee, FL 32309-7803

Phone 850-907-0097 · Fax 850-325-6013

1313 Fish Hatchery Rd
Madison, WI 53715

Phone 608-252-8000 · Fax 608-252-8268

7102 Mineral Point Rd
Madison, WI 53717-1706

Phone 608-828-7603

7102 Mineral Point Rd
Madison, WI 53717-1706

Phone 608-828-7676

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