Andrus, Kirk G

Andrus, Kirk G is an sole proprietor health care provider with primary practice located at 4135 Main St , Kelseyville CA 95451-8941. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Andrus, Kirk G can be contacted via phone (707) 279-1888.

Contact Information

Primary practice address
4135 Main St Kelseyville CA 95451-8941
Phone: (707) 279-1888
Fax: (707) 279-2832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G34543 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G34543 California

Profile Details

NPI number 1699789891
LBN Legal business name Andrus, Kirk G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699789891 NPPES
California MEDICAID 00G345430
California Other G34543

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