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Contact Information

KENNETH L ANDERSON, FNP-BC
975 E 3RD ST
CHATTANOOGA, TN37403-2147
 Phone: 423-778-7653
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

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

NPI Number 1033653894
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/14/2016
Last updated 12/14/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 22083
Hospital affiliation(s)
  • ATHENS REGIONAL MEDICAL CENTER - (Acute Care)
    1114 W MADISON AVE
    ATHENS, TN 37371
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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