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Contact Information

KENDRA ANDERSON, DPM
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA31905-2102
 Phone: 762-408-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KENDRA ANDERSON · (Female)

NPI Number 1487055786
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/06/2014
Last updated 01/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10600218-0501
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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