Anderson, Kenneth R

Anderson, Kenneth R is an individual health care provider with primary practice located at 1200 N 7Th St , Chariton IA 50049-1210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Kenneth R can be contacted via phone (641) 774-8103.

Contact Information

Primary practice address
1200 N 7Th St Chariton IA 50049-1210
Phone: (641) 774-8103
Fax: (641) 774-8087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01931 Iowa

Profile Details

NPI number 1275513756
LBN Legal business name Anderson, Kenneth R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Feb 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275513756 NPPES
Iowa MEDICAID 4193557
Iowa Other 1275513756
Iowa Other 40870
Iowa Other 110153091
Iowa Other 40871
Iowa MEDICAID 1275513756
Iowa MEDICAID 5193557

Popular Providers