Provider Demographics
NPI:1104165612
Name:RAYMOND A KUROWSKI, DDS, PA
Entity type:Organization
Organization Name:RAYMOND A KUROWSKI, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUROWSKI
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:620-663-9136
Mailing Address - Street 1:200 E 30TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-2409
Mailing Address - Country:US
Mailing Address - Phone:620-663-9136
Mailing Address - Fax:866-453-3079
Practice Address - Street 1:200 E 30TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-2409
Practice Address - Country:US
Practice Address - Phone:620-663-9136
Practice Address - Fax:866-453-3079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty