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Individual

KURT D BOTTLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 HARRIET ST, STE 504, EVANSVILLE, IN 47710-1781
(812) 450-7720
(812) 450-7730
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
01036958A
IN
208M00000X
Hospitalist Physician
Primary
01036958
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200235060
IN
Enumeration date
11/28/2006
Last updated
11/16/2015
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