Charlotte M Kurtz, PA-C
Physician Assistant in Louisville, KY. Individual provider (NPI-1).
NPI number1790777340
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1790777340
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Charlotte M Kurtz
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2005
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA535 | KY | Yes |
| 207VX0000X | Obstetrics & Gynecology, Obstetrics | PA535 | KY |
Practice location
4123 Dutchmans LnSuite 500
Louisville, KY 40207-4707
Phone 502-894-9494 · Fax 502-894-9404
Mailing address
Po Box 776351Chicago, IL 60677-6351
Phone 502-588-9490 · Fax 502-272-5116
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