Anderson, Kenneth C

Anderson, Kenneth C is an individual health care provider with primary practice located at 4003 Kresge Way Ste 312, Louisville KY 40207. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Anderson, Kenneth C can be contacted via phone (502) 899-7377.

Contact Information

Primary practice address
4003 Kresge Way Ste 312 Louisville KY 40207
Fax: (502) 899-1972
Website:

Health care specialties

Profile Details

NPI number 1205800034
LBN Legal business name Anderson, Kenneth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Dec 11th, 2020 - about 5 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 1205800034 NPPES
Kentucky Other 290010998 RR MEDICARE
Kentucky Other 1079146 RR MEDICARE
Kentucky MEDICAID 64251754 RR MEDICARE

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