Organization · NPI-2

Andrew J Anderson DO, PC

Family Medicine · Forest, VA

NPI number1043082423
StatusActive
Last updated in NPPESOct 27, 2023

Details

NPI
1043082423
Entity type
Organization (NPI-2)
Legal business name
Andrew J Anderson DO, PC
Organization subpart
No
Enumeration date
Oct 27, 2023
Certification date
Oct 27, 2023
Last updated
Oct 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Kaya Health (Doing Business As)

Practice location

18024 Forest Rd
Forest, VA 24551-4853

Phone 434-214-0722

Mailing address

18024 Forest Rd
Forest, VA 24551-4853

Phone 434-214-0722

Authorized official

Andrew Anderson
Owner
4342140722

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