Kienstra, Andrew Joseph

Kienstra, Andrew Joseph is an individual health care provider with primary practice located at 4900 Mueller Blvd , Austin TX 78723-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Kienstra, Andrew Joseph can be contacted via phone (512) 324-0000.

Contact Information

Primary practice address
4900 Mueller Blvd Austin TX 78723-2303
Phone: (512) 324-0000
Fax: (512) 380-7551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X L1093 Texas

Profile Details

NPI number 1144300419
LBN Legal business name Kienstra, Andrew Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 1st, 2011 - about 13 years ago

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 1144300419 NPPES
Texas MEDICAID 047555001

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