Anderson, Kenneth W.

Anderson, Kenneth W. is an sole proprietor health care provider with primary practice located at 501 Park Ave Suite C, Lebanon TN 37087-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, Kenneth W. can be contacted via phone (615) 444-4070.

Contact Information

Primary practice address
501 Park Ave Suite C Lebanon TN 37087-1706
Fax: (615) 444-4099
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD012869 Tennessee

Profile Details

NPI number 1467545541
LBN Legal business name Anderson, Kenneth W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Mar 18th, 2017 - about 8 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 1467545541 NPPES
Tennessee Other 40326 BCBS
Tennessee MEDICAID 3010646 BCBS

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