Individual
KENNETH J KURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1532 S GREEN BAY RD, SUITE 200, RACINE, WI 53406-4410
(262) 631-0474
(262) 631-0476
Mailing address
1532 S GREEN BAY RD, SUITE 200, RACINE, WI 53406-4410
(262) 631-0474
(262) 631-0476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14968
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30038200
—
WI
Enumeration date
10/10/2007
Last updated
10/29/2007
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