Healthcare Provider Details

I. General information

NPI: 1972501583
Provider Name (Legal Business Name): KURT F SMITH AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5014 EL CAMINO DR STE 200
COLORADO SPRINGS CO
80918-2104
US

IV. Provider business mailing address

750 N COMMONS DR STE 200
AURORA IL
60504-7940
US

V. Phone/Fax

Practice location:
  • Phone: 719-633-4100
  • Fax: 719-358-5299
Mailing address:
  • Phone: 630-303-5380
  • Fax: 630-303-5385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number328
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: