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Katharine Lynn Kurtz

Physician Assistant in Rochester, NY. Individual provider (NPI-1).

NPI number1528596293
StatusActive
Last updated in NPPESDec 10, 2019

Details

NPI
1528596293
Entity type
Individual (NPI-1)
Name
Katharine Lynn Kurtz
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2017
Certification date
Dec 10, 2019
Last updated
Dec 10, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant021459NYYes

Practice location

1425 Portland Ave
Rochester, NY 14621-3011

Phone 585-338-1200 · Fax 585-544-1359

Mailing address

243 Mosley Dr
Syracuse, NY 13206-2336

Phone 719-492-8088

Other practice locations

301 Prospect Ave
Syracuse, NY 13203-1807

Phone 315-726-8025

1555 Long Pond Rd
Rochester, NY 14626-4122

Phone 585-723-7005

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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