Kirk G Andrus MD

NPI #1700066529 in Kelseyville, California

Provider Information

NPI Number: 1700066529
Entity Type: Organization
Organization Name: Kirk G Andrus MD
Primary Specialty: Family Medicine
Enumeration Date: Nov 8, 2007
Last Updated: Jan 5, 2009

Practice Location

Address: 4135 MAIN ST
City: Kelseyville
State: California
ZIP Code: 95451-8941
Phone: (707) 279-2004

Authorized Official

Name: KIRK G ANDRUS, MD
Title: OWNER
Phone: (707) 279-2204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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