Individual
KENNETH BOOTH KURICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5390 N ACADEMY BLVD, SUITE 300, COLORADO SPRINGS, CO 80918-4062
(719) 596-6110
(719) 596-6112
Mailing address
5390 N ACADEMY BLVD, SUITE 300, COLORADO SPRINGS, CO 80918-4062
(719) 596-6110
(719) 596-6112
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
23258
CO
247200000X
Other Technician
Primary
23258
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01232586
—
CO
Enumeration date
12/13/2005
Last updated
08/12/2009
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