Taylor, Kenneth Anderson

Taylor, Kenneth Anderson is an individual health care provider with primary practice located at 120 E Beauregard Ave , San Angelo TX 76903-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Taylor, Kenneth Anderson can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
120 E Beauregard Ave San Angelo TX 76903-5919
Phone: (325) 658-1511
Fax: (325) 481-2165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L4751 Texas

Profile Details

NPI number 1114934452
LBN Legal business name Taylor, Kenneth Anderson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 16th, 2015 - about 9 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 1114934452 NPPES
Texas Other 8EX216 BCBS

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