Healthcare Provider Details

I. General information

NPI: 1538248125
Provider Name (Legal Business Name): HARRY DAVID KURTZ PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7930 SKYLAND RIDGE PKWY STE 203
RALEIGH NC
27617-6813
US

IV. Provider business mailing address

7930 SKYLAND RIDGE PKWY STE 203
RALEIGH NC
27617-6813
US

V. Phone/Fax

Practice location:
  • Phone: 919-881-8295
  • Fax: 833-471-6191
Mailing address:
  • Phone: 919-881-8295
  • Fax: 833-471-6191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number104201
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number104201
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: