Kenneth M Anderson (NPI# 1376534198, PAC ID# 3577563469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1376534198 |
PAC ID by PECOS | 3577563469 |
Professional Enrollment ID | I20061227000072 |
Full Name | Kenneth M Anderson |
Address |
977 Main St Montevallo AL 35115-3847 |
Gender | M |
Credential | OD |
Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
Graduation Year | 1982 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
977 Main St, Montevallo, AL 35115-3847 |
Street Address |
977 MAIN ST |
City | MONTEVALLO |
State | AL |
Zip | 35115-3847 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Hastings | Speech Language Pathologist | 977 Main St, Waltham, MA 02451-7406 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jonathan C Merkle | Family Medicine | 33 Salem Rd, Suite 1, Montevallo, AL 35115-3586 | |
Michael Scott Miller | Chiropractic | 640 Valley St, Montevallo, AL 35115-4047 |
City | MONTEVALLO |
Zip Code | 35115 |
Specialty | OPTOMETRY |
City + Specialty | MONTEVALLO + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.