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1386654986
KENNETH M ANDERSEN
JOHNSTON, IA
NPI
1386654986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 24339)
Enumeration Date
2006-08-08
Last Update Date
2024-01-21
Business Address
KENNETH M ANDERSEN MD
5615 NW 86TH ST
JOHNSTON, IA 50131-1738
Phone number: 515-643-6000
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Mailing Address
KENNETH M ANDERSEN MD
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-643-6000
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