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Individual
MR. KURT FOSSUM
Active
Individual
MR. KURT FOSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00990
NC
363A00000X
Physician Assistant
Primary
4940
AZ
363A00000X
Physician Assistant
PA09161
TX
Other
Enumeration date
05/01/2006
Last updated
03/06/2026
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