Anderson, Evelyn Kelly

Anderson, Evelyn Kelly is an individual health care provider with primary practice located at 1301 Dove St , Monroe NC 28112-5012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anderson, Evelyn Kelly can be contacted via phone (704) 283-8888.

Contact Information

Primary practice address
1301 Dove St Monroe NC 28112-5012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9401437 North Carolina

Profile Details

NPI number 1376584037
LBN Legal business name Anderson, Evelyn Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Mar 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376584037 NPPES
Other 6594700 CIGNA
Other 017WA CIGNA
MEDICAID 5903343 CIGNA

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