NPI 1710026422

Kenneth Stephen Anderson, CRNA

Practitioner Chore Provider Erie, PA

Practice location

Address: 201 State St, Erie, PA 16550-0002
Phone: (814) 877-2080
Fax: (814) 877-6070
Mailing address: 1442 Biebel Ave, Erie, PA 16509-2846

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence RN187319L (PA)

Other Chore Provider providers in Pennsylvania →

Registry record

NPI: 1710026422
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2007
Record last updated: 8 Jul 2007

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.