Individual
MR. ANDREW WARREN SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL STUDENT
Contact information
Practice address
2140 BONNYCASTLE AVE APT 10E, LOUISVILLE, KY 40205-1375
(859) 967-6577
Mailing address
2140 BONNYCASTLE AVE APT 10E, LOUISVILLE, KY 40205-1375
(859) 967-6577
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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