Individual
KURT GERNOT KLUSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 NW MYHRE RD, SILVERDALE, WA 98383-7681
(360) 830-1304
(360) 830-1380
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-1304
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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