Kent W Anderson (NPI# 1932231016, PAC ID# 6507900321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1932231016 |
| PAC ID by PECOS | 6507900321 |
| Professional Enrollment ID | I20100217000680 |
| Full Name | Kent W Anderson |
| Address |
545 W 465 N Suite 130 Providence UT 94332-8005 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 545 W 465 N, Suite 130, Providence, UT 94332-8005 |
| Street Address |
545 W 465 N SUITE 130 |
| City | PROVIDENCE |
| State | UT |
| Zip | 94332-8005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Atkin | Clinical Psychologist | 545 W 465 N, Providence, UT 84332-8005 |
| City | PROVIDENCE |
| Zip Code | 94332 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PROVIDENCE + PSYCHOLOGIST, CLINICAL |
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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.