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KIRK G ANDRUS MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1699789891

Individual Registrant:
 KIRK G ANDRUS MD
Gender: M
Sole Proprietor

Location and contact information for practice:
4135 MAIN ST  KELSEYVILLE, CA 95451-8941 US
Tel: 707-279-1888  Fax: 707-279-2832

Contact information for business:
4135 MAIN ST  KELSEYVILLE, CA 95451-8941 US
Tel: 707-279-1888  Fax: 707-279-2832

Registration Information:
NPI: 1699789891
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAG34543
N207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
CAG34543

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00G345430CA05
CA LICENSEG34543CA01
DEAAA3039650CA01




HEALTH CARE JOBS CA - Page 1



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