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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447239736 | NPPES |
| Colorado | MEDICAID | 04011250 |
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