Kenneth Lee Anderson
Dental Hygienist
111 Muldoon Rd Apt 5
Anchorage
, Alaska 99504-1435
Kenneth Lee Anderson
Dental Hygienist
111 Muldoon Rd Apt 5
Anchorage
, Alaska 99504-1435
(641) 795-2883
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Kenneth Lee Anderson
- 111 Muldoon Rd Apt 5
- Anchorage, AK
- Zip : 99504-1435
- Fax : (641) 795-2883
- Phone : (402) 740-8740
Second Address
- Kenneth Lee Anderson
- 111 Muldoon Rd Apt 5
- Anchorage, AK
- Zip : 99504-1435
- Fax : (641) 795-2883
- Phone : (402) 740-8740
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH-905320 | CO |
National Provider Identifier
| NPI | 1063683233 |
|---|---|
| Provider Name | Kenneth Lee Anderson |
| First Address | Anchorage, AK 99504-1435 |
| Second Address | Anchorage, AK 99504-1435 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2008 |
| Last Update Date | 17/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.