Individual
KURT GERNOT KLUSSMANN
Active
Individual
KURT GERNOT KLUSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00030021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180015852
RAILROAD MEDICARE
—
01
—
43628
LABOR & INDUSTRIES
WA
01
—
4606168
AETNA
—
05
—
8148934
—
WA
01
—
8932637
CRIME VICTIMS COMP
WA
01
—
KL3250
REGENCE BLUE SHIELD
—
Enumeration date
05/28/2006
Last updated
03/07/2023
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