Provider Demographics
NPI:1699350983
Name:KURFMAN, AMY LYN (RPH)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYN
Last Name:KURFMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:HARWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:507 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:PAWNEE
Mailing Address - State:IL
Mailing Address - Zip Code:62558-9700
Mailing Address - Country:US
Mailing Address - Phone:217-691-2167
Mailing Address - Fax:844-232-6321
Practice Address - Street 1:614 N 6TH ST # 200
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62702-5313
Practice Address - Country:US
Practice Address - Phone:217-685-5954
Practice Address - Fax:844-232-6321
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.0375321835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric