Individual
DR. KEVIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 RED RIVER ST FL 2, AUSTIN, TX 78712-1845
(512) 495-5555
Mailing address
1501 RED RIVER ST FL 2, AUSTIN, TX 78712-1845
(512) 495-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101275948
VA
208D00000X
General Practice Physician
Primary
0101275948
VA
Other
Enumeration date
04/01/2021
Last updated
04/07/2026
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