Individual
ANDREW L. FOZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 HARRODSBURG RD STE C405, LEXINGTON, KY 40504-1748
(859) 276-4429
(859) 313-1095
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 313-1095
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
55472
KY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
55472
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100612700
—
KY
Enumeration date
03/14/2018
Last updated
06/03/2025
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