Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH L. ANDERSON III, D.O.
Active Sole ProprietorKENNETH L. ANDERSON III, D.O. is a Sports Medicine healthcare provider located in SAN DIEGO, California. NPI 1437172533 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SAN DIEGO, CA
Registration Details
- NPI Number
- 1437172533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.00824702745 yrs)
- Last Updated
- Nov 3, 2011
- License
-
20A5441 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1945 GARNET AVESAN DIEGO, CA, 921093595Browse CA providers · Browse ZIP 92109
- Phone
- 8582247977
- Fax
- 8582247978
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DOUGLAS DEAN DENGERINK | D.O. | 1598761413 |
| CALVIN K WONG | M.D. | 1962400531 |
| DR. KELLY DEAN SKANCHY | M.D. | 1154313971 |
| DR. KENNETH S TAYLOR | M.D. | 1265458269 |
| ROBERT ARNOLD BAKER | M.D. | 1093821639 |
| DR. STEPHEN M DAQUINO | DO | 1346351665 |
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.