Fleagle, Kurt Andrew
Fleagle, Kurt Andrew is an individual health care provider with primary practice located at 5250 Far Hills Ave Ste 210 , Kettering OH 45429-2353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fleagle, Kurt Andrew can be contacted via phone (937) 434-4775.Contact Information
Primary practice address
5250 Far Hills Ave Ste 210
Kettering OH 45429-2353
Phone: (937) 434-4775
Fax: (833) 450-5129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35067242 | Ohio |
Profile Details
| NPI number | 1750382602 |
|---|---|
| LBN Legal business name | Fleagle, Kurt Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | May 5th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750382602 | NPPES |
| Ohio | Other | 352238745001 | MEDICAL MUTUAL |
| Ohio | MEDICAID | 0264904 | MEDICAL MUTUAL |
| Ohio | Other | 000000348732 | MEDICAL MUTUAL |
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