HomeNPI Verification

NPI Verification

National Provider Identifier: 1245527969

Jack D Anderson, DO

Individual Provider

Credentials

DO

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

PO BOX 1080

BURKESVILLE, KY 427171080

Phone: 270-864-1472

NPI Enumeration Date

July 1, 2011

NPI Number

1245527969

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Jack Anderson, DO - NPI 1245527969 | Provider Verification | HormoneMap