Individual
ANDREW JOHANNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0293
(859) 323-9918
Mailing address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0293
(859) 323-9918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3812
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2015
Last updated
04/10/2017
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