Kratz, Kurt Gregory

Kratz, Kurt Gregory is an sole proprietor health care provider with primary practice located at 5052 W 4Th St , Hattiesburg MS 39402-1069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kratz, Kurt Gregory can be contacted via phone (601) 261-2587.

Contact Information

Primary practice address
5052 W 4Th St Hattiesburg MS 39402-1069
Phone: (601) 261-2587
Fax: (601) 261-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 13985 Mississippi

Profile Details

NPI number 1225142920
LBN Legal business name Kratz, Kurt Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Nov 2nd, 2020 - about 4 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 1225142920 NPPES
Mississippi MEDICAID 00114534
Mississippi Other C02413
Mississippi Other 220024431
Mississippi Other 1130027
Mississippi Other 09014846
Mississippi Other 1152501

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