Organization
K. MICHAEL ANDERSON,O.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MICHAEL ANDERSON O.D. (OWNER)
(205) 665-1488
Entity
Organization
Contact information
Practice address
977 MAIN ST, MONTEVALLO, AL 35115-3847
(205) 665-1488
(205) 665-5128
Mailing address
977 MAIN ST, MONTEVALLO, AL 35115-3847
(205) 665-1488
(205) 665-5128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
06/24/2009
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