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NPI Code Detail

MEDICARE: MISS KATHRYN ANN KURK

MEDICARE: MISS KATHRYN ANN KURK
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
1225XH1200XHand Occupational Therapist01179IA

General Provider Information

NPI Number : 1679779557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KATHRYN ANN KURK
Provider Business Mailing Address
First Line : 1639 SS AVE
Second Line :
City : SOUTH AMANA
State : IA
Zip : 52334-8527
Country : US
Telephone Number : 319-530-1960
Fax Number :
Provider Business Practice Location Address
First Line : 3661 ROCHESTER AVE
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-9271
Country : US
Telephone Number : 319-351-7460
Fax Number : 319-341-6229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 07/08/2007

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Directions to “ MISS KATHRYN ANN KURK ” Practice Location

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