Individual
PHILIP J KURLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 NICHOLS RD, OSAGE BEACH, MO 65065-3093
(573) 302-3999
(573) 302-2751
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2010024971
MO
2084N0400X
Neurology Physician
41496
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184692568
—
MO
01
—
2010024971
MO LICENSE
MO
01
—
H84916
UPIN
MO
Enumeration date
03/10/2006
Last updated
07/13/2012
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