Provider Demographics
NPI:1306905591
Name:KURTZ, KARL JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:JOHN
Last Name:KURTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4400 BROADWAY
Mailing Address - Street 2:SUITE # 412
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111
Mailing Address - Country:US
Mailing Address - Phone:816-561-7200
Mailing Address - Fax:816-561-7372
Practice Address - Street 1:4400 BROADWAY
Practice Address - Street 2:SUITE # 412
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3342
Practice Address - Country:US
Practice Address - Phone:816-561-7200
Practice Address - Fax:816-561-7372
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO28609208800000X
KS0414641208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000991Medicare ID - Type Unspecified
1420991Medicare ID - Type Unspecified
C510228Medicare UPIN