Kurt, Kenneth J
Kurt, Kenneth J is an sole proprietor health care provider with primary practice located at 1532 S Green Bay Rd Suite 200, Racine WI 53406-4410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kurt, Kenneth J can be contacted via phone (262) 631-0474.Contact Information
Primary practice address
1532 S Green Bay Rd Suite 200
Racine WI 53406-4410
Phone: (262) 631-0474
Fax: (262) 631-0476
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14968 | Wisconsin |
Profile Details
NPI number | 1255529673 |
---|---|
LBN Legal business name | Kurt, Kenneth J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2007 |
Last updated | Oct 29th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255529673 | NPPES |
Wisconsin | MEDICAID | 30038200 |
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