Individual
LARRY KENNETH ANDREO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 STUART STREET, MONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ (CREDE, FORT JACKSON, SC 29207-5720
(803) 751-2618
(803) 751-2689
Mailing address
4500 STUART STREET, MONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ (CREDE, FORT JACKSON, SC 29207-5720
(803) 751-2618
(803) 751-2689
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28391
KY
Other
Enumeration date
10/03/2006
Last updated
07/09/2007
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