Individual
DR. KEVIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 DIAMOND HILL RD STE 18, WOONSOCKET, RI 02895-1554
(401) 470-7116
Mailing address
PO BOX 746725, ATLANTA, GA 30374-6725
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2093
TN
207R00000X
Internal Medicine Physician
Primary
273031
MA
207R00000X
Internal Medicine Physician
DO01379
RI
207R00000X
Internal Medicine Physician
M7826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11013370A
—
MA
Enumeration date
07/17/2006
Last updated
05/07/2026
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