National Provider Identifier Database

KEVIN C ANDERSON, MD – NPI #1427150796
Foot and Ankle Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.


Contact Information

KEVIN C ANDERSON, MD
100 NAVARRE PL STE 4440
SOUTH BEND, IN46601-1171
Phone: 574-647-5300
Fax: 574-647-5305
Website:
Specialty Taxonomy Code
* Foot and Ankle Surgery 207XX0004X
Orthopaedic Surgery 207X00000X

* Indicates primary specialty

NPI Profile & details for KEVIN C ANDERSON

NPI Number 1427150796
Credentials MD
Entity Individual
Enumeration date 09/05/2006
Last updated 12/30/2019 - About 6 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01079147A
  • IN Medicaid: 300006370
Hospital affiliation n/a

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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