Individual
KURTIS GOLTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4159
(585) 922-3731
Mailing address
35 HIGHVIEW DR, HAMLIN, NY 14464-9322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
532787-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
079022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RB7210
MEDICARE UPIN/PTAN
NY
Enumeration date
05/21/2007
Last updated
03/25/2025
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