Anderson, Kenneth Allen

Anderson, Kenneth Allen is an individual health care provider with primary practice located at 1321 N Center St , Hickory NC 28601-2535. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Anderson, Kenneth Allen can be contacted via phone (828) 322-3898.

Contact Information

Primary practice address
1321 N Center St Hickory NC 28601-2535
Phone: (828) 322-3898
Fax: (828) 322-5485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 004563 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-0869 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00519 North Carolina

Profile Details

NPI number 1073569224
LBN Legal business name Anderson, Kenneth Allen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 1st, 2012 - about 14 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 1073569224 NPPES
Georgia MEDICAID 103960745A

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