Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW MUTISO, MD
ActiveANDREW MUTISO, MD is a Emergency Medicine healthcare provider located in PRESTONSBURG, Kentucky. NPI 1699750059 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · PRESTONSBURG, KY
Registration Details
- NPI Number
- 1699750059
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2005 (20.681619914663 yrs)
- Last Updated
- Oct 14, 2024
- Licenses
-
38249 (KY)38249 (KY)38249 (KY)38249 (KY)
Practice Information
- Address
-
5000 KY RTE 321PRESTONSBURG, KY, 41653Browse KY providers · Browse ZIP 41653
- Phone
- 6068867733
- Fax
- 6068867400
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- General Practice
- Additional Specialty
- Emergency Medicine
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.