person
Kenneth B Anderson, PA-C
Medical Physician Assistant in Salem, Virginia
NPI 1497868699

Kenneth B Anderson is a Medical Physician Assistant based in Roanoke, VA and is specialized in Medical. Kenneth B Anderson practices in Salem, VA and has the professional credentials of PA-C. The NPI Number for Kenneth B Anderson is 1497868699 and holds a License No. 0110840603 (Virginia).

The current practice location address for Kenneth B Anderson is 1935 W Main St, Salem, VA and can be reached out via phone at 540-387-0441 and via fax at 540-389-7868. You can also correspond with Kenneth B Anderson through the mailing address at 213 S JEFFERSON ST STE 1006, ROANOKE, VA - 24011-1713 (mailing address contact number: ).

Location: 1935 W Main St, Salem, VA, 24011-1713
person
Provider Profile Details
NPI Number
1497868699
Provider Name
Kenneth B Anderson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1935 W Main St, Salem, VA, 24011-1713
Phone Number
540-387-0441
Fax Number
540-389-7868
Provider Enumeration Date
08/15/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008932395 05 VA
0110840603 01 VA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1935 W Main St
City
State
Zip
24153-3109
Phone Number
540-387-0441
Fax Number
540-389-7868
person
Provider Business Mailing Address Details
Address
213 S Jefferson St Ste 1006
City
State
Zip
24011-1713
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110840603 (Virginia)
Definition
Definition to come...
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