Individual
KEITH CHARLES ANDERSON
Active
Individual
KEITH CHARLES ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO250
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000083822
—
AL
01
—
1451629
UNITED MINE WORKERS
—
01
—
167578000
US DEPT OF LABOR
—
01
—
180012766
MC RR
—
05
—
4046275
—
TN
01
—
8045502
CIGNA
—
01
—
83822
BLUE CROSS
AL
Enumeration date
12/06/2005
Last updated
12/11/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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