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Individual

KEVIN R ANDREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1593
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1593

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25826
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174513873
NPI
OR
05
278110
OR
Enumeration date
10/24/2005
Last updated
03/07/2023
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