Healthcare Provider Details

I. General information

NPI: 1750720710
Provider Name (Legal Business Name): RICHARD MICHAEL KUZMA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2013
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1585 FORNEY CREEK PKWY STE 2100
DENVER NC
28037-9514
US

IV. Provider business mailing address

2347 SIMONTON RD
STATESVILLE NC
28625-8246
US

V. Phone/Fax

Practice location:
  • Phone: 704-489-0365
  • Fax:
Mailing address:
  • Phone: 704-873-4719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2016-01557
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: