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NPI Code Detail

MEDICARE: DR. KRISTINA ELIZABETH KURTZ D.O

MEDICARE: DR. KRISTINA ELIZABETH KURTZ D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician5101019716MI
22084P0800XPsychiatry PhysicianDR.0060700CO

General Provider Information

NPI Number : 1013272350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTINA ELIZABETH KURTZ D.O
Provider Business Mailing Address
First Line : 1330 INVERNESS DR STE 400
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3739
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 1330 INVERNESS DR STE 400
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3739
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2012
Last Update Date : 05/04/2023

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