Individual
KENNETH MICHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
S495TA007
AL
Other
Enumeration date
11/01/2005
Last updated
06/24/2009
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