Individual
KEVIN C ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(703) 383-2000
Mailing address
243 COUNTRY CREEK WAY, PALMYRA, VA 22963-6238
(757) 897-8938
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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