Individual
KEVIN C ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NAVARRE PL STE 4440, SOUTH BEND, IN 46601-1171
(574) 647-5300
(574) 647-5305
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01079147A
IN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
01079147A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006370
—
IN
Enumeration date
09/05/2006
Last updated
12/30/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us