Kloss, Kurt

Kloss, Kurt is an individual health care provider with primary practice located at 4500 Memorial Dr , Belleville IL 62226-5360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kloss, Kurt can be contacted via phone (618) 257-5879.

Contact Information

Primary practice address
4500 Memorial Dr Belleville IL 62226-5360
Fax: (618) 257-6740
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036088207 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2016009160 Missouri

Profile Details

NPI number 1508907247
LBN Legal business name Kloss, Kurt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Sep 9th, 2019 - about 6 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508907247 NPPES
Other 930124097 RAILROAD MEDICARE

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