Mutiso, Andrew

Mutiso, Andrew is an individual health care provider with primary practice located at 5000 Ky Rte 321 , Prestonsburg KY 41653. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mutiso, Andrew can be contacted via phone (606) 886-7733.

Contact Information

Primary practice address
5000 Ky Rte 321 Prestonsburg KY 41653
Phone: (606) 886-7733
Fax: (606) 886-7400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38249 Kentucky
Other Service Providers / Specialist 174400000X 38249 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 38249 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38249 Kentucky

Profile Details

NPI number 1699750059
LBN Legal business name Mutiso, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Sep 29th, 2015 - about 9 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 1699750059 NPPES
Kentucky MEDICAID 64080815

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