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Contact Information

KENNETH M ANDERSON, OD
977 MAIN ST
MONTEVALLO, AL35115-3847
 Phone: 205-665-1488
 Fax: 205-665-5128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KENNETH M ANDERSON · (Male)

NPI Number 1376534198
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/01/2005
Last updated 06/24/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AL License # S495TA007
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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