Provider Demographics
NPI:1023187580
Name:ANDRE, KATHARINE A (MD)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:A
Last Name:ANDRE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4320 DIPLOMACY DRIVE, SUITE 2300
Mailing Address - Street 2:FAMILY MEDICINE CLINIC
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5925
Mailing Address - Country:US
Mailing Address - Phone:907-729-3300
Mailing Address - Fax:907-729-4139
Practice Address - Street 1:4320 DIPLOMACY DRIVE, SUITE 2300
Practice Address - Street 2:FAMILY MEDICINE
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5925
Practice Address - Country:US
Practice Address - Phone:907-729-3300
Practice Address - Fax:907-729-3300
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK5938207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine