Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY KENNETH ANDREO, M.D.
ActiveOphthalmology · FORT JACKSON, SC
Registration Details
- NPI Number
- 1568556157
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.566696140156 yrs)
- Last Updated
- Jul 9, 2007
- License
-
28391 (KY)
Practice Information
- Address
-
4500 STUART STREETMONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ (CREDEFORT JACKSON, SC, 292075720Browse SC providers · Browse ZIP 29207
- Phone
- 8037512618
- Fax
- 8037512689
- Primary Specialty
-
Ophthalmology
207W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.