Individual
DR. GREG L. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 MAJESTIC DRIVE, SUITE 200, LEXINGTON, KY 40513
(859) 296-1922
(859) 685-0701
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7840
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
23776
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64237761
—
KY
Enumeration date
06/01/2006
Last updated
05/05/2019
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