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Organization
KIRK G ANDRUS MD
Active
Organization
KIRK G ANDRUS MD
Active
Other names
Kelseyville Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK G ANDRUS MD (OWNER)
(707) 279-2204
Entity
Organization
Contact information
Practice address
4135 MAIN ST, KELSEYVILLE, CA 95451-8941
(707) 279-2004
(707) 279-2832
Mailing address
4135 MAIN ST, KELSEYVILLE, CA 95451-8941
(707) 279-2204
(707) 279-2832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G34543
CA
Other
Enumeration date
11/08/2007
Last updated
01/05/2009
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