Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Mandery MD Plastic Surgery LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1629399266

Andrew Mandery MD Plastic Surgery LLC is a Plastic and Reconstructive Surgery Physician in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1948 W Blvd
Kokomo, IN 46902-6078
Phone: (765) 236-1290
Fax: (765) 236-0420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 01045232 (IN)

Record details

NPI number1629399266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Mandery — Physician · (765) 236-1290
NPI enumeratedJune 17, 2010
Last updated in NPPESJuly 2, 2014
Mailing address1948 W Boulevard, Kokomo, IN 46902-6078

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