Provider Demographics
NPI:1508873936
Name:KRISTOFY, ANDREA SUZANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:SUZANNA
Last Name:KRISTOFY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 740041
Mailing Address - Street 2:DEPT 5090
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40201-7441
Mailing Address - Country:US
Mailing Address - Phone:502-451-9949
Mailing Address - Fax:502-451-4553
Practice Address - Street 1:231 E CHESTNUT ST
Practice Address - Street 2:KOSAIR CHILDRENS HOSPITAL
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1821
Practice Address - Country:US
Practice Address - Phone:502-451-9949
Practice Address - Fax:502-451-4553
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-06-13
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Provider Licenses
StateLicense IDTaxonomies
KY333142083A0100X, 207L00000X, 207LP3000X
MA209599207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200400170Medicaid
KY64010754Medicaid