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NPI Code Detail

MEDICARE: SARAH J KURTH LPN

MEDICARE: SARAH J KURTH LPN
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
1164W00000XLicensed Practical NurseLPN.144515.MEDS-IVOH

General Provider Information

NPI Number : 1912433558
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH J KURTH LPN
Provider Business Mailing Address
First Line : 3884 PARKSIDE CIR W
Second Line :
City : LORAIN
State : OH
Zip : 44053-4602
Country : US
Telephone Number : 440-225-8157
Fax Number :
Provider Business Practice Location Address
First Line : 24865 DETROIT RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-2512
Country : US
Telephone Number : 440-250-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2017
Last Update Date : 05/02/2017

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