Individual
DR. ANDREW W PIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
104 WEST C AVE, KINGMAN, KS 67068-1313
(620) 532-3154
(620) 532-5662
Mailing address
104 WEST C AVE, KINGMAN, KS 67068-1313
(620) 532-3154
(620) 532-5662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1925
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200966630A
—
KS
01
—
P01102034
RR MEDICARE
KS
Enumeration date
08/10/2012
Last updated
01/08/2013
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