| Doctor Name: | ARDEN B ANDERSEN |
| NPI Number: | 1093800716 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 05-29348 |
| Business Practice Address: | 712 1st Ter Suite 100 Lansing, KS - 660431735 |
| Business Phone Number: | 9137276000 |
| Business Fax Number: | 9133511346 |
| Mailing Address: | 8929 Parallel Pkwy, Attn: Pmg Physician Credentialing Kathleen KANSAS CITY |
| State: | KS |
| Postal Code: | 661121689 |
| Phone Number: | 9135963893 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 05-29348 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |