Doctor Name: | KEVIN D ANDERSON |
NPI Number: | 1487952933 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 5281 |
Business Practice Address: | 1549 Fort Harrison Rd Terre Haute, IN - 478041332 |
Business Phone Number: | 8124604700 |
Business Fax Number: | 8124604701 |
Mailing Address: | 1549 Fort Harrison Rd, TERRE HAUTE |
State: | IN |
Postal Code: | 478041332 |
Phone Number: | 8124604700 |
Fax Number: | 8124604701 |
NPI Enumeration Date: | 03/08/2011 |
NPI Last Update Date: | 12/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5281 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |