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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1437172533 NPPES
California Other F01223 UPIN

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