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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144300419 | NPPES |
Texas | MEDICAID | 047555001 |
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