Anderson, Kevin C

Anderson, Kevin C is an individual health care provider with primary practice located at 100 Navarre Pl Ste 4440 , South Bend IN 46601-1171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Anderson, Kevin C can be contacted via phone (574) 647-5300.

Contact Information

Primary practice address
100 Navarre Pl Ste 4440 South Bend IN 46601-1171
Phone: (574) 647-5300
Fax: (574) 647-5305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01079147A Indiana
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 01079147A Indiana

Profile Details

NPI number 1427150796
LBN Legal business name Anderson, Kevin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Dec 30th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427150796 NPPES
Indiana MEDICAID 300006370

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