Individual
MRS. KELLY LEIGH KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
1372 PEACHTREE ST NE, ATLANTA, GA 30309-3203
(470) 964-1700
(678) 288-5639
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
834163
NV
363L00000X
Nurse Practitioner
Primary
RN308026
GA
363LA2200X
Adult Health Nurse Practitioner
308061
NY
363LA2200X
Adult Health Nurse Practitioner
95010236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019761000
—
FL
01
—
1275698284
NPI
—
01
—
Y03N2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/27/2006
Last updated
11/24/2025
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