Anderson, Kevin John

Anderson, Kevin John is an sole proprietor health care provider with primary practice located at 4103 Boardwalk Ste 100 , Ft Collins CO 80525-5931. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Anderson, Kevin John can be contacted via phone (970) 223-0592.

Contact Information

Primary practice address
4103 Boardwalk Ste 100 Ft Collins CO 80525-5931
Phone: (970) 223-0592
Fax: (970) 377-1082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X CO1342 Colorado
Eye and Vision Services Providers / Occupational Vision 152WX0102X CO1342 Colorado

Profile Details

NPI number 1447239736
LBN Legal business name Anderson, Kevin John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Jan 12th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447239736 NPPES
Colorado MEDICAID 04011250

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