Individual
DR. EDWARD JERMAINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.T.
Contact information
Practice address
33600 W 85TH ST, DE SOTO, KS 66018-8118
(913) 583-1260
Mailing address
8650 WINCHESTER ST, 2202, LENEXA, KS 66219-8109
(913) 709-5732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03428
KS
Other
Enumeration date
05/03/2011
Last updated
01/17/2017
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