Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth B Anderson, PA-C

Individual provider Medical Physician Assistant · NPI 1497868699

Kenneth B Anderson, PA-C is a Physician Assistant in Salem, Virginia. Qualified in 1992, 34 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
34
Licensed in
VA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1935 W Main St
Salem, VA 24153-3109
Phone: (540) 387-0441
Fax: (540) 389-7868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110840603 (VA)

Record details

NPI number1497868699
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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