Search › Indiana › 101YM0800X
John Anderson, MA
NPI 1962527978 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3118 S Lafountain St
Kokomo, IN 46902 - Phone
- (765) 864-4160
- Fax
- (765) 400-4467
- Organisation at this address
- Ihc Wic Program At Kokomo
Indiana Health Centers, Inc.
Indiana Health Centers, Inc.
Indiana Health Centers, Inc. Pharmacy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-23
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 Indiana