Organization
ANDREW G. BUSTIN, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW G. BUSTIN M.D. (OWNER)
(502) 875-9885
Entity
Organization
Contact information
Practice address
107 DIAGNOSTIC DR, FRANKFORT, KY 40601-6524
(502) 875-9885
(502) 875-9882
Mailing address
107 DIAGNOSTIC DR, FRANKFORT, KY 40601-6524
(502) 875-9885
(502) 875-9882
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19944
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64199441
—
KY
Enumeration date
03/06/2007
Last updated
08/22/2020
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