Individual
CARLA A. KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-5740
(859) 301-5741
Mailing address
40 N GRAND AVE STE 103, FORT THOMAS, KY 41075-1765
(859) 781-4900
(859) 572-3035
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0287
KY
237700000X
Hearing Instrument Specialist
0737
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50000504
—
KY
05
—
7100019960
—
KY
Enumeration date
02/02/2007
Last updated
04/30/2018
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