Individual
DR. KENNETH WILLIAM ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N LA CIENEGA BLVD, SUITE 200, BEVERLY HILLS, CA 90211-2227
(310) 985-3104
Mailing address
50 N LA CIENEGA BLVD, SUITE 200, BEVERLY HILLS, CA 90211-2227
(310) 985-3104
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
57040
GA
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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