Anderson, Kenneth Michael

Anderson, Kenneth Michael is an individual health care provider with primary practice located at 977 Main St , Montevallo AL 35115-3847. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Kenneth Michael can be contacted via phone (205) 665-1488.

Contact Information

Primary practice address
977 Main St Montevallo AL 35115-3847
Fax: (205) 665-5128
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S495TA007 Alabama

Profile Details

NPI number 1376534198
LBN Legal business name Anderson, Kenneth Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Jun 24th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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