Individual
KEVIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1131 W NIMISILA RD, NEW FRANKLIN, OH 44216-8900
(234) 281-6309
Mailing address
1131 W NIMISILA RD, NEW FRANKLIN, OH 44216-8900
(234) 281-6309
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004677
OH
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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