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Contact Information

KEVIN ANDERSON, DO
2100 W IOWA AVE
CHICKASHA, OK73018-2736
 Phone: 405-224-2100
 Fax: 405-779-2855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEVIN ANDERSON · (Male)

NPI Number 1154655157
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/23/2009
Last updated 07/24/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
OK License # 4878
Hospital affiliation(s)
  • GRADY MEMORIAL HOSPITAL - (Acute Care)
    2220 IOWA STREET
    CHICKASHA, OK 73018
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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