Individual
DR. KENNETH ROBERT ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
132 N WEST ST, WICHITA, KS 67203
(316) 943-3273
(316) 943-8491
Mailing address
132 N WEST ST, WICHITA, KS 67203
(316) 943-3273
(316) 943-8491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4383
KS
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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