SearchPennsylvania103K00000X

Kiwanis Anderson

NPI 1578214227 · on the registry since 2022

Practice

Address
1015 Pennsylvania Ave # A
Irwin, PA 15642
Phone
(866) 287-2036
Clinicians at this address
309

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania