Individual
KATHLEEN E KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S 19TH ST, COEUR D ALENE, ID 83814-5229
(708) 567-9473
Mailing address
615 S 19TH ST, COEUR D ALENE, ID 83814-5229
(708) 567-9473
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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