Individual
KURT ROBERT DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
306 WESTWOOD AVE, STE 401, HIGH POINT, NC 27262-4342
(336) 885-6168
(336) 885-6402
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NC200400482
NC
207RC0000X
Cardiovascular Disease Physician
NC200400482
NC
207RI0011X
Interventional Cardiology Physician
Primary
NC200400482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891365R
—
NC
01
—
P00880318
RR MEDICARE
NC
Enumeration date
01/26/2007
Last updated
08/31/2021
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