Individual
ANDREW M IANNUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 EASTERN BYP, RICHMOND, KY 40475-2751
(859) 623-3131
Mailing address
801 EASTERN BYP, RICHMOND, KY 40475-2751
(859) 623-3131
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49231
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
08/10/2016
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