Individual
KENNETH LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7653
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22083
TN
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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