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Individual
KENNETH C ANDERSON
Active
Individual
KENNETH C ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25175
KY
207RP1001X
Pulmonary Disease Physician
25175
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
25175
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1079146
PASSPORT
KY
01
—
290010998
RR MEDICARE
KY
05
—
64251754
—
KY
Enumeration date
02/16/2006
Last updated
01/05/2026
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