Provider Demographics
NPI:1588922652
Name:STEVE P KURIC MD PLLC
Entity type:Organization
Organization Name:STEVE P KURIC MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:P
Authorized Official - Last Name:KURIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-896-8091
Mailing Address - Street 1:4001 KRESGE WAY
Mailing Address - Street 2:SUITE 238
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4640
Mailing Address - Country:US
Mailing Address - Phone:502-896-8091
Mailing Address - Fax:502-896-8094
Practice Address - Street 1:4001 KRESGE WAY
Practice Address - Street 2:SUITE 238
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4640
Practice Address - Country:US
Practice Address - Phone:502-896-8091
Practice Address - Fax:502-896-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-26
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY27360207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYDT0565Medicare PIN