Organization
JENIFER KURTZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES THOMAS ALCORN (OFFICE MANAGER)
(865) 573-4794
Entity
Organization
Contact information
Practice address
3608 BLUFF POINT DR, KNOXVILLE, TN 37920-2806
(865) 573-4794
(865) 573-4794
Mailing address
PO BOX 391, KNOXVILLE, TN 37901-0391
(865) 573-4794
(865) 573-4794
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
MD0000031607
TN
314000000X
Skilled Nursing Facility
MD0000031607
TN
315D00000X
Inpatient Hospice
MD0000031607
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3841499
—
TN
Enumeration date
07/18/2005
Last updated
01/09/2015
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