Individual
ANDREW TAYLOR KINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
Q0089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8EH869
BCBS
TX
Enumeration date
07/14/2009
Last updated
07/09/2014
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