Organization
KEITH C. ANDERSON, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH CHARLES ANDERSON D.O. (PHYSICIAN)
(256) 539-4545
Entity
Organization
Contact information
Practice address
201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL 35801-5123
(256) 539-4545
(256) 539-4990
Mailing address
PO BOX 4799, HUNTSVILLE, AL 35815-4799
(256) 539-4545
(256) 539-4990
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO-250
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180012766
MEDICARE, RAILROAD
AL
01
—
8045502
CIGNA
—
01
—
83822
BLUE CROSS OF ALABAMA
AL
Enumeration date
12/06/2006
Last updated
12/11/2008
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