Individual
DR. KURT WILLIAM BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4389 BEAUFORT ROAD, HAVELOCK, NC 28532
(252) 466-0921
Mailing address
101 SALVO DR, NEW BERN, NC 28562-8390
(314) 809-5864
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
35.140073
OH
2083A0100X
Aerospace Medicine Physician
Primary
35.140073
OH
208D00000X
General Practice Physician
35.140073
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2019
Last updated
08/07/2023
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