Provider Demographics
NPI:1851583934
Name:ANDREWS, KRYSTAL KAY (OD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTAL
Middle Name:KAY
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KRYSTAL
Other - Middle Name:KAY
Other - Last Name:KEMPF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2914 AMHERST DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-2401
Mailing Address - Country:US
Mailing Address - Phone:517-927-2712
Mailing Address - Fax:
Practice Address - Street 1:2914 AMHERST DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-2401
Practice Address - Country:US
Practice Address - Phone:517-927-2712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004448152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist