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Contact Information

JUSTIN D ANDERSON, MD
4003 KRESGE WAY STE 115
LOUISVILLE, KY40207-4652
 Phone: 502-897-8163
 Fax: 502-928-8919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JUSTIN D ANDERSON · (Male)

NPI # 1700381548
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2018
Last updated 05/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # R76708
  • KY License # TP508
Hospital affiliation(s) Not Available
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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