Anderson, Kevin

Anderson, Kevin is an individual health care provider with primary practice located at 2100 W Iowa Ave Suite A, Chickasha OK 73018-2736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Kevin can be contacted via phone (405) 224-2100.

Contact Information

Primary practice address
2100 W Iowa Ave Suite A Chickasha OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4878 Oklahoma

Profile Details

NPI number 1154655157
LBN Legal business name Anderson, Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2009
Last updated Aug 16th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154655157 NPPES
Oklahoma MEDICAID 200312900B

Popular Providers