Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK D ANDERSON, DO
ActiveFamily Medicine · TOMPKINSVILLE, KY
Registration Details
- NPI Number
- 1245527969
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2011 (14.805341458953 yrs)
- Last Updated
- Jun 10, 2014
- License
-
03464 (KY)
Practice Information
- Address
-
1515 EDMONTON RDTOMPKINSVILLE, KY, 421679402Browse KY providers · Browse ZIP 42167
- Phone
- 2704879272
- Fax
- 2704876242
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in TOMPKINSVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY DALE HUME | M.D. | 1619975240 |
| MR. WILLIAM MICHAEL CARTER | MD | 1720013873 |
| JERRY NEAL BEAN | M.D. | 1750497574 |
| MR. KENNETH RAY CRABTREE | MD | 1003992462 |
| DR. CLELLA LOUISE HAYES | M.D. | 1316066970 |
| LAURA INABNITT | DO | 1114414273 |
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.