Individual
DR. KENT LOWELL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M5024
TX
207W00000X
Ophthalmology Physician
MD11210
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195720101
—
TX
01
—
195720102
CSHCN
TX
01
—
411309
BLUE CROSS AND BLUE SHEILD OF RI
RI
01
—
8W1155
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/31/2006
Last updated
08/24/2016
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