Organization Name: | KURT W. KANTZLER D.O., INC. |
NPI Number: | 1073664207 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KURT KANTZLER (OWNER) |
Mailing Address: | 215 S 5th St Gadsden |
State: | AL US |
Postal Code: | 359014217 |
Phone Number: | 2565432867 |
Fax Number: | 2565467354 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | DO637 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |