Healthcare Provider Details

I. General information

NPI: 1124023106
Provider Name (Legal Business Name): STEVEN P KURIC M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 01/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W COLUMBIA ST STE 350
EVANSVILLE IN
47710-5610
US

IV. Provider business mailing address

4001 KRESGE WAY SUITE 238
LOUISVILLE KY
40207-4640
US

V. Phone/Fax

Practice location:
  • Phone: 812-425-9999
  • Fax: 812-426-9981
Mailing address:
  • Phone: 502-896-8091
  • Fax: 502-896-8094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number01033037
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: