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Contact Information

KENT W ANDERSON, MD
504 6TH ST
DEPARTMENT OF RADIATION ONCOLOGY
LEWISTON, ID83501-2439
 Phone: 208-799-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KENT W ANDERSON · (Male)

NPI # 1821106071
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M5576
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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