Anderson, Keith V

Anderson, Keith V is an individual health care provider with primary practice located at 1900 Cooks Hill Rd , Centralia WA 98531-9073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Anderson, Keith V can be contacted via phone (360) 736-2889.

Contact Information

Primary practice address
1900 Cooks Hill Rd Centralia WA 98531-9073
Fax: (360) 736-3136
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00027725 Washington

Profile Details

NPI number 1083726269
LBN Legal business name Anderson, Keith V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 16th, 2009 - about 16 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 1083726269 NPPES
Washington MEDICAID 8118648

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