Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN ANDERSON, MD
Active Sole ProprietorKEVIN ANDERSON, MD is a General Practice healthcare provider located in ELLSWORTH AFB, South Dakota. NPI 1003494816 is currently active in the NPPES registry. Verify at CMS.
General Practice · ELLSWORTH AFB, SD
Registration Details
- NPI Number
- 1003494816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2021 (5.3263156978093 yrs)
- Last Updated
- Aug 22, 2023
- License
-
0101275948 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2900 DOOLITTLE DRELLSWORTH AFB, SD, 577064821Browse SD providers · Browse ZIP 57706
- Phone
- 6053853332
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in ELLSWORTH AFB, SD
| Name | Credential | NPI |
|---|---|---|
| MAXWELL TUO CHENG | D.O. | 1083363683 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.