MEDICARE: MR. KURT CHARLES GARREN 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
1	207Y00000X	Otolaryngology Physician	35072946	OH
2	207Y00000X	Otolaryngology Physician	35-072946	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1487644100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KURT CHARLES GARREN M.D.

Provider Business Mailing Address
First Line	:	570 WHITE POND DR STE 100
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-4206
Country	:	US
Telephone Number	:	330-315-5051
Fax Number	:	330-315-3052

Provider Business Practice Location Address
First Line	:	570 WHITE POND DR STE 100
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-4206
Country	:	US
Telephone Number	:	330-315-5051
Fax Number	:	330-315-3052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	04/09/2026

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