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NPI Code Detail

MEDICARE: PATRICK KURTZ

MEDICARE: PATRICK KURTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1770373631
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK KURTZ
Provider Business Mailing Address
First Line : 439 LEENHOUTS ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49048-2337
Country : US
Telephone Number : 616-916-4659
Fax Number :
Provider Business Practice Location Address
First Line : 2019 RAMBLING RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1630
Country : US
Telephone Number : 269-345-0909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2025
Last Update Date : 05/12/2025

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