Anderson, Kenneth B

Anderson, Kenneth B is an individual health care provider with primary practice located at 1935 W Main St , Salem VA 24153-3109. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Anderson, Kenneth B can be contacted via phone (540) 387-0441.

Contact Information

Primary practice address
1935 W Main St Salem VA 24153-3109
Phone: (540) 387-0441
Fax: (540) 389-7868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110840603 Virginia

Profile Details

NPI number 1497868699
LBN Legal business name Anderson, Kenneth B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Mar 15th, 2024 - about 2 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 1497868699 NPPES
Virginia MEDICAID 008932395
Virginia Other 0110840603

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