Anderson, Kevin

Anderson, Kevin is an sole proprietor health care provider with primary practice located at 5151 Pacific Ave , Stockton CA 95207-6370. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Anderson, Kevin can be contacted via phone (209) 954-5181.

Contact Information

Primary practice address
5151 Pacific Ave Stockton CA 95207-6370
Phone: (209) 954-5181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1508194366
LBN Legal business name Anderson, Kevin
Credentials MA, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2009
Last updated Sep 2nd, 2019 - 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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