Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH MICHAEL ANDERSON, O.D.
ActiveKENNETH MICHAEL ANDERSON, O.D. is a Optometrist healthcare provider located in MONTEVALLO, Alabama. NPI 1376534198 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MONTEVALLO, AL
Registration Details
- NPI Number
- 1376534198
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2005 (20.640027739129 yrs)
- Last Updated
- Jun 24, 2009
- License
-
S495TA007 (AL)
Practice Information
- Address
-
977 MAIN STMONTEVALLO, AL, 351153847Browse AL providers · Browse ZIP 35115
- Phone
- 2056651488
- Fax
- 2056655128
- Primary Specialty
-
Optometrist
152W00000X
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.