Individual
ANDREW JOSEPH KIENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-2303
(512) 324-0000
(512) 380-7551
Mailing address
4209 RAVINE RIDGE TRL, AUSTIN, TX 78746-1285
(832) 236-3171
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
L1093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047555001
—
TX
Enumeration date
10/17/2006
Last updated
12/01/2011
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