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Individual

DR. KENNETH ALBERT ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6605 ABERCORN ST STE 108, SAVANNAH, GA 31405-5896
(912) 355-7214
(517) 787-7365
Mailing address
255 WEST MICHIGAN AVENUE, PO BOX 1123, JACKSON, MI 49201-1123

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19091
SC
207L00000X
Anesthesiology Physician
ME92106
FL

Other

Enumeration date
08/01/2006
Last updated
02/08/2013
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