KENNETH L. ANDERSON

SAN DIEGO, CA
NPI1437172533
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: CA  20A5441)
Enumeration Date2006-07-26
Last Update Date2011-11-03
Business Address
-- KENNETH L. ANDERSON D.O.
1945 GARNET AVE
SAN DIEGO, CA 92109-3595
Phone number: 858-224-7977
Mailing Address
-- KENNETH L. ANDERSON D.O.
1945 GARNET AVENUE
SAN DIEGO, CA 92109-4292
Phone number: 858-224-7977