Doctor Name: | MOLLY KURTZ |
NPI Number: | 1043687486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 283862 |
Business Practice Address: | 1146 Washington Blvd Mayfield Hts, OH - 441241624 |
Business Phone Number: | 2165347031 |
Business Fax Number: | |
Mailing Address: | 1146 Washington Blvd, MAYFIELD HTS |
State: | OH |
Postal Code: | 441241624 |
Phone Number: | 2165347031 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2015 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 283862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |