Individual
KIMBERLY J KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
048024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009390
PHYS PLUS PROV #
WI
01
—
391023846
COMMERCIAL INS PROV #
WI
05
—
43409200
—
WI
01
—
551896
DEANCARE PROV #
WI
01
—
P00139653
RAILROAD MEDICARE PROV #
WI
Enumeration date
12/07/2005
Last updated
04/23/2024
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