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

Mr. Kenneth Allen Anderson, PA

Individual provider Physician Assistant · NPI 1073569224

Mr. Kenneth Allen Anderson, PA is a Physician Assistant in Hickory, North Carolina. Qualified in 2005, 21 years ago. Practices with Unifour Family Practice PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2874 S Nc 127 Hwy
Hickory, NC 28602-9131
Phone: (828) 294-4100
Fax: (800) 951-8614
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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 0010-00519 (NC)

Record details

NPI number1073569224
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Unifour Family Practice Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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