Kenton Lee Anderson, MD
Emergency Medicine in Stanford, CA. Individual provider (NPI-1).
NPI number1275700361
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1275700361
- Entity type
- Individual (NPI-1)
- Name
- Kenton Lee Anderson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 8, 2008
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | A129952 | CA | Yes |
| 207P00000X | Emergency Medicine | M0436567 | PA | |
| 207P00000X | Emergency Medicine | AD3189380-KA10 | NC | |
| 207P00000X | Emergency Medicine | P9792 | TX |
Practice location
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
Mailing address
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
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