Kenneth Raymond Andersen, D.C.

NPI #1760483986 in Sandy, Utah

Provider Information

NPI Number: 1760483986
Entity Type: Individual
Name: Kenneth Raymond Andersen, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 10, 2005
Last Updated: May 28, 2010

Practice Location

Address: 9035 S 1300 E
Address 2: SUITE 2B
City: Sandy
State: Utah
ZIP Code: 84094-3132
Phone: (801) 572-5696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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