NPI 1013175835 · live from the CMS NPI Registry
Kevin A Andryc, DO
Emergency Medicine in Erie, PA. National Provider Identifier 1013175835, active.
NPI record
| NPI | 1013175835 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 201 State St, Erie, PA 16550 |
| Practice phone | 814-877-6000 |
| Mailing address | 9411 Ravenna Rd, Chardon, OH 44024 |
| Enumerated | May 29, 2008 |
| Last updated | April 13, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | OT011707 (PA) |
| Emergency Medicine primary | 207P00000X | 34-010094 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.