Anderson, Kevin J
Anderson, Kevin J is an sole proprietor health care provider with primary practice located at 8212 Summa Ave , Baton Rouge LA 70809-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Anderson, Kevin J can be contacted via phone (225) 769-4403.Contact Information
Primary practice address
8212 Summa Ave
Baton Rouge LA 70809-3421
Phone: (225) 769-4403
Fax: (225) 769-3842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 025273 | Louisiana |
Profile Details
| NPI number | 1417099094 |
|---|---|
| LBN Legal business name | Anderson, Kevin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417099094 | NPPES |
| Louisiana | Other | 025273 | LA STATE MEDICAL LIC |
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