Organization
CORE ENT. LLC
Active
Organization
CORE ENT. LLC
Active
Other names
North Alabama Medical Assoc. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KURT W. KANTZLER D.O. (PHYSICIAN)
(256) 543-2867
Entity
Organization
Contact information
Practice address
215 SOUTH 5TH STREET, GADSDEN, AL 35901-4217
(256) 543-2867
(256) 459-4791
Mailing address
PO BOX 8365, GADSDEN, AL 35902-8365
(256) 543-2867
(256) 459-4791
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
D0637
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123503
—
AL
Enumeration date
10/23/2012
Last updated
10/23/2012
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