Anderson, Kenneth L.
Anderson, Kenneth L. is an sole proprietor health care provider with primary practice located at 1945 Garnet Ave , San Diego CA 92109-3595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Anderson, Kenneth L. can be contacted via phone (858) 224-7977.Contact Information
Primary practice address
1945 Garnet Ave
San Diego CA 92109-3595
Phone: (858) 224-7977
Fax: (858) 224-7978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 20A5441 | California |
Profile Details
| NPI number | 1437172533 |
|---|---|
| LBN Legal business name | Anderson, Kenneth L. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Nov 3rd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437172533 | NPPES |
| California | Other | F01223 | UPIN |
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