Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN C ANDERSON, MD
ActiveKEVIN C ANDERSON, MD is a Sports Medicine (Orthopaedic) healthcare provider located in SOUTH BEND, Indiana. NPI 1427150796 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · SOUTH BEND, IN
Registration Details
- NPI Number
- 1427150796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2006 (19.985474913305 yrs)
- Last Updated
- Dec 30, 2019
- Licenses
-
01079147A (IN)01079147A (IN)
Practice Information
- Address
-
100 NAVARRE PL STE 4440SOUTH BEND, IN, 466011171Browse IN providers · Browse ZIP 46601
- Phone
- 5746475300
- Fax
- 5746475305
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Other Sports Medicine (Orthopaedic) Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| JAMES FLYNN | M.D. | 1982861522 |
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.