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Individual
MR. KENNETH R. KURTZ
Active
Individual
MR. KENNETH R. KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006171-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020519501
UNIVERA
NY
01
—
000608163001
BLUE CROSS & BLUE SHIELD
NY
05
—
01557051
—
NY
01
—
125381
MANAGED PHYSICAL NETWORK
NY
01
—
69931
GHI
NY
01
—
UHC RAILROAD MEDICAR
650003262
NY
Enumeration date
07/28/2005
Last updated
08/03/2011
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