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

Kevin Nolan Anderson

Individual provider Physician Assistant · NPI 1790336709

Kevin Nolan Anderson is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Radiology Associates of Children's Hospital, Inc, a 38-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060948 (PA)

Record details

NPI number1790336709
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2019
Last updated in NPPESSeptember 23, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Radiology Associates Of Children'S Hospital, Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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