Individual
MR. THOMAS C KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
599 ROGERSVILLE RD, RADCLIFF, KY 40160-9321
(502) 262-2887
Mailing address
790 NORTH DIXIE SUITE B100, B100 SUITE, ELIZABTHTOWN, KY 42701
(270) 900-0576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255294
KY
1041C0700X
Clinical Social Worker
KYCSW253369
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100648780
—
KY
Enumeration date
10/21/2019
Last updated
10/27/2020
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