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NPI Code Detail

MEDICARE: MR. DAVID LEE KURTZ MSW, LSW

MEDICARE: MR. DAVID LEE KURTZ MSW, LSW
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
1104100000XSocial Worker33011293AIN

General Provider Information

NPI Number : 1508713199
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID LEE KURTZ MSW, LSW
Provider Business Mailing Address
First Line : 14212 STATE ROAD 37 E
Second Line :
City : NEW HAVEN
State : IN
Zip : 46774-9768
Country : US
Telephone Number : 260-579-5088
Fax Number :
Provider Business Practice Location Address
First Line : 9329 ILLINOIS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-5796
Country : US
Telephone Number : 260-204-0001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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