Individual
DR. KENNETH MARK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
875 UNION AVE, ROOM C309, MEMPHIS, TN 38163-0001
(901) 448-5876
(901) 448-6835
Mailing address
875 UNION AVE RM C309, MEMPHIS, TN 38163-2110
(901) 448-2569
(901) 448-6835
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DDS8053
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4075323
BCBS
TN
Enumeration date
10/27/2006
Last updated
09/05/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us