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Dr. Kenneth Mark Anderson

Oral and Maxillofacial Pathology

875 Union Ave Room C309
Memphis , Tennessee 38163-0001

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Dr. Kenneth Mark Anderson

Oral and Maxillofacial Pathology

875 Union Ave Room C309
Memphis , Tennessee 38163-0001

(901) 448-6835

Write a Review Save Call

Dr. Kenneth Mark Anderson

Oral and Maxillofacial Pathology

875 Union Ave Room C309
Memphis , Tennessee 38163-0001

(901) 448-6835 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Pathology

Languages spoken

  • English

Location

875 Union Ave Room C309 Memphis , Tennessee 38163-0001

First Address

  • Dr. Kenneth Mark Anderson
  • 875 Union Ave Rm C309
  • Memphis, TN
  • Zip : 38163-2110
  • Fax : (901) 448-6835
  • Phone : (901) 448-2569

Second Address

  • Dr. Kenneth Mark Anderson
  • 875 Union Ave Room C309
  • Memphis, TN
  • Zip : 38163-0001
  • Fax : (901) 448-6835
  • Phone : (901) 448-5876

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FAQs


Where did Dr. Kenneth Mark Anderson attend graduate school?

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Where did Dr. Kenneth Mark Anderson do his residency?

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Where did Dr. Kenneth Mark Anderson do his fellowship?

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Is Dr. Kenneth Mark Anderson board certified?

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What type of doctor is Dr. Kenneth Mark Anderson

Oral and Maxillofacial Pathology

In what state does Dr. Kenneth Mark Anderson practice in?

Tennessee

Where is Dr. Kenneth Mark Anderson ’s practice located?

875 Union Ave Room C309 , Memphis, Tennessee, 38163-0001

What is Dr. Kenneth Mark Anderson ’s gender?

Male

Is Dr. Kenneth Mark Anderson a sole practitioner?

No

Is Dr. Kenneth Mark Anderson accepting new patients?

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What languages does Dr. Kenneth Mark Anderson speak?

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Does Dr. Kenneth Mark Anderson accept insurance?

Yes, Dr. Kenneth Mark Anderson accepts insurance

Does Dr. Kenneth Mark Anderson offers telemedicine?

Dr. Kenneth Mark Anderson has not indicated if he offers telemedicine

What is Dr. Kenneth Mark Anderson ’s professional license number?

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What is Dr. Kenneth Mark Anderson ’s NPI number?

1245316017

Does Dr. Kenneth Mark Anderson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0106X Oral and Maxillofacial Pathology DDS8053 TN

National Provider Identifier

NPI 1245316017
Provider Name Dr. Kenneth Mark Anderson
First Address Memphis, TN 38163-2110
Second Address Memphis, TN 38163-0001
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/10/2006
Last Update Date 05/09/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
4075323 BCBS (01) TN
U99478 (02) TN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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