Individual provider · Type 1 NPI

Chase Pittman Anderson

Student in an Organized Health Care Education/Training Program · Fort Thomas, KY

NPI number 1104750066 Active

Practice location

85 N Grand Ave
Fort Thomas, KY 41075-1793

Mailing address

4211 Eagle Head Dr
Gahanna, OH 43230-6328

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104750066

Chase Pittman Anderson's National Provider Identifier is 1104750066, issued on Jun 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Thomas, KY. The record was last updated on Jun 8, 2026.