Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 34651 | NC |
NPI | 1053394254 |
---|---|
Provider Name | Dr. Andrew Kirsteins |
First Address | Greensboro, NC 27401-1004 |
Second Address | Greensboro, NC 27401-1035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 24/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8949527 | (05) | NC |
C43025 | (02) | NC |