Healthcare Provider Details

I. General information

NPI: 1831894971
Provider Name (Legal Business Name): KIRA BETH KURTZMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7060 WAYSIDE DR
MENTOR OH
44060-6527
US

IV. Provider business mailing address

1102 BARCLAY ST
SAN ANTONIO TX
78207-7161
US

V. Phone/Fax

Practice location:
  • Phone: 440-357-2770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34.018837
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: