MRS. KELLY LEIGH KURTZ


Address: 2868 Prospect Park Dr, Rancho Cordova, CA 95670-6020
Phone: 9163254204

MRS. KELLY LEIGH KURTZ (NPI# 1275698284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275698284
Entity Type Individual
Full Name MRS. KELLY LEIGH KURTZ
Credential ARNP-C
Practice Address 2868 Prospect Park Dr
Rancho Cordova
CA 95670-6020
Mailing Address 670 Pacific St
Apt 606
Brooklyn
NY 11217-3984
Practice Telephone 9163254204
Mailing Telephone 2399406324
Mailing Fax Number 3056769093
Enumeration Date 2006-12-27
Last Update Date 2019-03-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
95010236 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
308061 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY DEA MK4165634 01
NPI 1275698284 01
FL BLUE CROSS BLUE SHIELD Y03N2 01
FL 0019761000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 Waters Pl, 602, Bronx, NY 104612720 8772268500

Other Providers KELLY KURTZ

NPI Name Taxonomy Address Enumeration
1609482223 Kelly Kurtz Social Worker 111 Janet Trl, Fairfield, PA 17320-8174 2020-09-18
1558814756 Kelly Jo Kurtz Marriage & Family Therapist 1224 E Lowell St, Tucson, AZ 85721-0400 2016-07-25
1447598164 Kelly Kurtz Pharmacist 8900 Tamiami Trl N, Naples, FL 34108-2535 2013-01-30
1740305713 Kelly Kurtz Occupational Therapist 55 Cinema Blvd, Leominster, MA 01453-3290 2007-03-20

Office Location

Street Address 2868 PROSPECT PARK DR
City RANCHO CORDOVA
State CA
Zip Code 95670-6020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851847891 The Cataract Vision Institute LLC Clinic/Center 2868 Prospect Park Dr, Suite 150, Rancho Cordova, CA 95670-6020 2016-08-30
1336473164 Single Source Medical, LLC Durable Medical Equipment & Medical Supplies 2868 Prospect Park Dr, Suite 600, Rancho Cordova, CA 95670-6020 2009-09-26
1639346901 Francis Jose Maria Felix Internal Medicine 2868 Prospect Park Dr, Suite 230, Rancho Cordova, CA 95670-6020 2008-05-14
1750423406 Laser Vision Partners Inc Optometrist 2868 Prospect Park Dr, Suite 150, Rancho Cordova, CA 95670-6020 2007-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689297640 Blue Angels Trans LLC Non-emergency Medical Transport (VAN) 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 2020-05-26
1104452796 Stephanie Lynn Miller Registered Nurse 10850 Golden Center Drive, Rancho Cordova, CA 95670 2020-03-16
1174165948 Sacramento County Office of Education Clinic/Center Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 2019-10-14
1700364353 Kavneet Bindra Dentist 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 2018-08-04
1487172029 Monica Jackson Registered Nurse 3235 Gosport Way, Rancho Cordova, CA 95670 2017-09-05
1710408422 Noemi Colmenares Specialist/Technologist 11100 Coloma Rd., Rancho Cordova, CA 95670 2017-07-03
1245779552 Kristin Lyn Kaminski-wadle Student in an Organized Health Care Education/Training Program 11344 Coloma Rd Ste 515, Gold River, CA 95670 2017-02-20
1801331822 Margrette Elaine Townsend Counselor 2379 Stone River Ct, Gold River, CA 95670 2016-12-29
1164889572 Jose H Macaspac Iv Physical Therapist 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 2016-01-15
1972971620 Harry James Buzbuzian Jr. General Practice 11345 Gold Country Blvd, Gold River, CA 95670 2015-09-11
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699388504 Daniel Ngo Nurse Practitioner 1180 S Hilda St, Anaheim, CA 92806-5007 2020-08-28
1407464522 Laura Bradigan Nurse Practitioner 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 2020-07-15
1538787031 Kelly Olcott Nurse Practitioner 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 2020-07-10
1629695440 Kelley Ibarra Nurse Practitioner 1613 Celeste Dr, Modesto, CA 95355-5039 2020-06-26
1497379333 Gloria Jean Campbell Nurse Practitioner 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 2020-06-06
1851913115 Lilly Fong Nurse Practitioner 15821 Square Top Ln, Fontana, CA 92336-4586 2020-05-09
1548880750 Sharkeiya Terrell Nurse Practitioner 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 2020-04-17
1730714007 Julissa Leonides Caraballo Nurse Practitioner 4044 Promontory St, San Diego, CA 92109-5334 2020-03-07
1194355404 Bethany Leda Donowho Nurse Practitioner 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 2020-01-26
1518507078 Rachel Saake Collar Nurse Practitioner 5100, 1000 Executive Pkwy, Oroville, CA 95966 2020-01-13
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Competitor

Search similar providers

City RANCHO CORDOVA
Zip Code 95670

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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