Individual
DR. KENNETH LEWIS ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6425 PENSACOLA BLVD, OFFICE PARK PLAZA SUITE 1, PENSACOLA, FL 32503-1701
(850) 471-7779
(850) 471-7702
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(850) 471-7779
(850) 471-7702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME72955
FL
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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