Individual
KEITH CHARLES ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL 35801-5123
(256) 533-8100
(256) 533-8101
Mailing address
PO BOX 4799, HUNTSVILLE, AL 35815-4799
(256) 539-4545
(256) 539-4990
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
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