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NPI Code Detail

MEDICARE: KURT GREGORY KRATZ M.D.

MEDICARE: KURT GREGORY KRATZ M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician13985MS

General Provider Information

NPI Number : 1225142920
Entity Type Code : Individual
Provider Name (Legal Business Name) : KURT GREGORY KRATZ M.D.
Provider Business Mailing Address
First Line : 5052 W 4TH ST
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-1069
Country : US
Telephone Number : 601-261-2587
Fax Number : 601-264-7426
Provider Business Practice Location Address
First Line : 5052 W 4TH ST
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-1069
Country : US
Telephone Number : 601-261-2587
Fax Number : 601-261-3201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 11/21/2025

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