Kenneth L. Anderson in San Diego - Sports Medicine

Kenneth L. Anderson - NPI 1437172533

Kenneth L. Anderson is a Sports Medicine in San Diego, California. Kenneth L. Anderson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kenneth L. Anderson is 1437172533. The last update date is 2011-11-03.

Kenneth L. Anderson's current location address is 1945 Garnet Avenue, San Diego, California. You can contact this provider via phone number 8582247977 and fax number 8582247978. The mailing address for Kenneth L. Anderson is 1945 Garnet Avenue, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth L. Anderson
Address 1945 Garnet Avenue, San Diego, California
Phone Number 8582247977
Fax Number 8582247978
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1437172533
Provider Enumeration Date 2006-07-26
Last Updated Date 2011-11-03

Provider Mailing Address Detail

Address 1945 Garnet Avenue
City San Diego
State California (CA)
Post Code 921094292
Phone Number 8582247977
Fax Number 8582247978

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 20A5441
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
F01223 CA UPIN

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FAQs about Kenneth L. Anderson

What is the unique 10-digit identifier code issued to Kenneth L. Anderson by the Centers for Medicare & Medicaid Services?

The Kenneth L. Anderson has been assigned the NPI (National Provider Identifier) 1437172533 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kenneth L. Anderson is physically located?

The Kenneth L. Anderson is physically situated at the following address: 1945 Garnet Avenue, San Diego, CA, 921094292.

What is Kenneth L. Anderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth L. Anderson is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1437172533 to Kenneth L. Anderson?

The Centers for Medicare & Medicaid Services originally issued the 1437172533 to Kenneth L. Anderson on 2006-07-26.

When was the Kenneth L. Anderson's information last updated?

The Kenneth L. Anderson's information was last updated on 2011-11-03.

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