KENNETH B ANDERSON, PA-C, Medical SALEM, VA

Contact Information

KENNETH B ANDERSON, PA-C

1935 W MAIN ST
SALEM, VA 24153-3109

Phone: 540-387-0441
Fax: 540-389-7868
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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

NPI #	`1497868699`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	08/15/2006
Last updated	03/15/2024 - About 2 years ago
Sole proprietor ¹	No
Identifiers	VA License # 0110840603 VA Medicaid 008932395 VA Other 0110840603 STATE LICENSE
Hospital affiliation(s)	LEWISGALE MEDICAL CENTER - (Acute Care) 1900 ELECTRIC ROAD SALEM, VA 24153

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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KENNETH B ANDERSON, PA-C – NPI #1497868699Medical

Contact Information

Specialty

Medical

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

Reviews for KENNETH B ANDERSON

KENNETH B ANDERSON, PA-C – NPI #1497868699
Medical