Individual
DR. ANDREW ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3618
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11016969A
IN
207P00000X
Emergency Medicine Physician
Primary
47041
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109353
—
OH
05
—
200982900
—
IN
05
—
7100310680
—
KY
Enumeration date
06/15/2008
Last updated
05/28/2021
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