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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC A ANDERSON

Active Sole Proprietor

ERIC A ANDERSON is a 122400000X healthcare provider located in SOMERSET, Kentucky. NPI 1003502477 is currently active in the NPPES registry. Verify at CMS.

122400000X · SOMERSET, KY

Registration Details

NPI Number
1003502477
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2023 (3.1456879705431 yrs)
Last Updated
Apr 17, 2023
License
DT-DO-10180589 (OR)
Sole Proprietor
Yes

Practice Information

Address
156 SOUTHPORT DR
SOMERSET, KY, 425014149
Browse KY providers · Browse ZIP 42501
Phone
6066771459
Primary Specialty
122400000X
122400000X
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.