Individual
KURT RICHARD WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6060 PIEDMONT ROW DR S STE 400, CHARLOTTE, NC 28287-3884
(704) 664-8060
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200401151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891387R
—
NC
Enumeration date
05/10/2006
Last updated
08/09/2021
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