Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Raymond Andersen, DC

Individual provider Chiropractor · NPI 1760483986

Kenneth Raymond Andersen, DC is a Chiropractic in Sandy, Utah. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
25
Licensed in
UT
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

9035 S 1300 E Ste 2B
Sandy, UT 84094-3132
Phone: (801) 572-5696
Fax: (801) 572-5753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 49216121202 (UT)

Record details

NPI number1760483986
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 10, 2005
Last updated in NPPESMay 28, 2010
Mailing address9035 S 1300 E, Suite 2b, Sandy, UT 84094-3131

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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