NPI 1003173253
Kevin R Anderson, LCSW
Practice location
- Address
- 2210 Jackson St, Anderson, IN 46016-4363
- Phone
- (765) 683-3118
- Mailing address
- 10330 N Meridian St # 300, Indianapolis, IN 46290-1024
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1003173253
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Apr 2012
- Record last updated
- 9 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.