Anderson, Kevin

Anderson, Kevin is an individual health care provider with primary practice located at 827 E Division St , Cadillac MI 49601-2015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Kevin can be contacted via phone (231) 775-9741.

Contact Information

Primary practice address
827 E Division St Cadillac MI 49601-2015
Phone: (231) 775-9741
Fax: (231) 775-9333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X KA075594 Michigan

Profile Details

NPI number 1942202916
LBN Legal business name Anderson, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 1st, 2016 - 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 1942202916 NPPES
Michigan MEDICAID 4501451
Michigan Other 0808300492
Michigan Other 1942202916
Michigan MEDICAID 4217007
Michigan Other 0H36303
Michigan MEDICAID 4501451-10
Michigan Other 127350

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