Kevin Fordyce Andringa

Individual provider Active NPI General Practice Physician · Camp Lejeune, NC

NPI 1346833803 · NPPES record last updated Jul 21, 2025

Key facts

NPI
1346833803
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
2022-02292 (NC)
Practice address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone
(910) 459-4357
NPI assigned
Feb 16, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2022-02292NCMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2022-02292 NC Yes

Addresses

Primary practice location

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Mailing address

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone (910) 459-4357

Other providers in Camp Lejeune, NC

All providers in Camp Lejeune, NC · General Practice Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.