Individual
DR. JONATHAN KURTIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, DEPARTMENT OF PATHOLOGY APC-12, PROVIDENCE, RI 02903-4923
(401) 444-7241
(401) 444-8514
Mailing address
593 EDDY ST, DEPARTMENT OF PATHOLOGY APC-12, PROVIDENCE, RI 02903-4923
(401) 444-7241
(401) 444-8514
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
MD10455
RI
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD10455
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7008728
—
RI
Enumeration date
06/14/2006
Last updated
09/11/2025
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