Healthcare Provider Details

I. General information

NPI: 1134307531
Provider Name (Legal Business Name): NEUROMONITORING SERVICES OF AMERICA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 SOUTH WEBER STREET SUITE 200
COLORADO SPRINGS CO
80903
US

IV. Provider business mailing address

24 SOUTH WEBER STREET SUITE 200
COLORADO SPRINGS CO
80903
US

V. Phone/Fax

Practice location:
  • Phone: 866-226-8576
  • Fax: 719-387-8974
Mailing address:
  • Phone: 866-226-8576
  • Fax: 719-387-8974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH B KURICA
Title or Position: CEO/OWNER
Credential: MD
Phone: 866-226-8576