HomeNPI Verification

NPI Verification

National Provider Identifier: 1386654986

Kenneth M Andersen, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

5615 NW 86TH ST

JOHNSTON, IA 501311738

Phone: 515-643-6000

NPI Enumeration Date

August 8, 2006

NPI Number

1386654986

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