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NPI Code Detail

MEDICARE: CARLY J KURTH APNP

MEDICARE: CARLY J KURTH APNP
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
1363L00000XNurse Practitioner11249WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205503687
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY J KURTH APNP
Provider Business Mailing Address
First Line : 3400 E RACINE ST
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-2344
Country : US
Telephone Number : 608-373-8000
Fax Number : 608-373-8067
Provider Business Practice Location Address
First Line : 700 S PARK ST
Second Line :
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-251-6100
Fax Number : 608-229-7094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2021
Last Update Date : 01/14/2026

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Directions to “ CARLY J KURTH APNP” Practice Location

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