Kooyer, Kurt William

Kooyer, Kurt William is an sole proprietor health care provider with primary practice located at 2829 University Dr S , Fargo ND 58103-6050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kooyer, Kurt William can be contacted via phone (701) 232-9000.

Contact Information

Primary practice address
2829 University Dr S Fargo ND 58103-6050
Phone: (701) 232-9000
Fax: (701) 893-9057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9202 North Dakota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9202 North Dakota

Profile Details

NPI number 1063456218
LBN Legal business name Kooyer, Kurt William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Mar 17th, 2014 - about 11 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 1063456218 NPPES
North Dakota MEDICAID 12025

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