Individual
KEVIN J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 237-4321
(814) 235-0484
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 231-7000
(814) 231-7098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060755
PA
Other
Enumeration date
06/24/2019
Last updated
04/16/2025
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