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KELSEYVILLE FAMILY PRACTICE
NPI 1700066529
Family Medicine in Kelseyville, CA

Active since November 08, 2007
4135 MAIN ST, KELSEYVILLE, CA 95451(707) 279-2004(707) 279-2832 Get Directions Write a Review

NPPES record last updated: January 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelseyville Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEYVILLE FAMILY PRACTICE (NPI 1700066529) is a healthcare organization registered as a family medicine in Kelseyville, California and active in the NPI registry since November 2007. The organization lists Kirk G Andrus, Owner, as its authorized official.

NPPES Registry Identity

NPI1700066529
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKIRK G ANDRUS MD
Location Address4135 MAIN STKelseyville, CA 95451-8941
Mailing Address4135 Main StKelseyville, CA 95451-8941 · (707) 279-2204 · Fax (707) 279-2832
Phone(707) 279-2004
Fax(707) 279-2832
Organization SubpartNo
Authorized OfficialKirk G AndrusOwner · (707) 279-2204
Enumeration DateNovember 8, 2007
Last NPPES UpdateJanuary 5, 2009
✔ NPI 1700066529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G34543
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4135 MAIN ST, Kelseyville, CA 95451
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Other Names 1

Other NameKelseyville Family Practice

Other Identifiers 1

Medicare PIN00G345432CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH COAST FACULTY MEDICAL GROUP
Family Medicine
4135 MAIN ST
KELSEYVILLE, CA 95451
Lake County (707) 279-1888
EILEEN R KALK PA
Physician Assistant
4135 MAIN ST
KELSEYVILLE, CA 95451
Lake County (707) 279-1888
KIRK G ANDRUS MD
Family Medicine
4135 MAIN ST
KELSEYVILLE, CA 95451
Lake County (707) 279-1888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirk G Andrus MD's NPI number?

The NPI number for Kirk G Andrus MD is 1700066529. It was assigned to this organization in the NPPES registry on November 8, 2007. The provider is also known as Kelseyville Family Practice.

Where is Kirk G Andrus MD located?

Kirk G Andrus MD is located at 4135 Main St, Kelseyville, CA 95451. The listed phone number is (707) 279-2004.

What is Kirk G Andrus MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kirk G Andrus MD was last updated on January 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.