# KEITH C. ANDERSON, D.O.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982763165
- **Authorized official:** DR. KEITH CHARLES ANDERSON D.O. (PHYSICIAN)
- **Authorized official phone:** (256) 539-4545

## Contact information

- **Practice address:** 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL 35801-5123
- **Practice address phone:** (256) 539-4545
- **Practice address fax:** (256) 539-4990
- **Mailing address:** PO BOX 4799, HUNTSVILLE, AL 35815-4799
- **Mailing address phone:** (256) 539-4545
- **Mailing address fax:** (256) 539-4990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | DO-250 | AL | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 12/11/2008