Individual
JACK D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1515 EDMONTON RD, TOMPKINSVILLE, KY 42167-9402
(270) 487-9272
(270) 487-6242
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03464
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100197370
—
KY
Enumeration date
07/01/2011
Last updated
06/10/2014
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