Anderson, Kirk Logan

Anderson, Kirk Logan is an sole proprietor health care provider with primary practice located at 109 Shult Dr #102, Columbus TX 78934-3009. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Kirk Logan can be contacted via phone (979) 732-5794.

Contact Information

Primary practice address
109 Shult Dr #102 Columbus TX 78934-3009
Phone: (979) 732-5794
Fax: (979) 732-9431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F5818 Texas
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X F5818 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X F5818 Texas

Profile Details

NPI number 1114951480
LBN Legal business name Anderson, Kirk Logan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Dec 9th, 2009 - about 15 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 1114951480 NPPES
Texas Other 126889802 EPSDT
Texas MEDICAID 126889804 EPSDT
Texas Other 010001278 EPSDT
Texas MEDICAID 1309494-02 EPSDT

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