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NPI Code Detail

MEDICARE: COREY KURTZ

MEDICARE: COREY KURTZ
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1891340733
Entity Type Code : Individual
Provider Name (Legal Business Name) : COREY KURTZ
Provider Business Mailing Address
First Line : 3317 MAPLECREST AVE
Second Line :
City : PARMA
State : OH
Zip : 44134-3627
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 29125 CHAGRIN BLVD
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4622
Country : US
Telephone Number : 216-292-3999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2019
Last Update Date : 02/28/2020

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Directions to “ COREY KURTZ ” Practice Location

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