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ANDREW GUST KOUSTENIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ROSE ST # C-246, LEXINGTON, KY 40536-0293
(859) 323-6162
(859) 257-8934
Mailing address
800 ROSE ST # C-246, LEXINGTON, KY 40536-0293
(859) 323-6162
(859) 257-8934

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01090399A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2019
Last updated
07/06/2023
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