Individual
KI B KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4281
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4281
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
OP61465088
WA
2084P0800X
Psychiatry Physician
Primary
PG157911
OR
Other
Enumeration date
06/20/2012
Last updated
05/29/2024
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