Dr Kenneth M Kurtz, MD | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 571-4000 | |
Not Available |
Full Name | Dr Kenneth M Kurtz |
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Gender | Male |
Speciality | Allergy & Immunology |
Location | 401 Bicentennial Way, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396829370 | NPI | - | NPPES |
00G855640 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207K00000X | Allergy & Immunology | G85564 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Kenneth M Kurtz, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Dr Kenneth M Kurtz, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 |
Mr. Michael E Martin, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2461 Summerfield Rd, Santa Rosa, CA 95405 Phone: 707-525-0211 Fax: 707-525-0491 | |
Dr. Maria M. Petrick, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 130 Stony Point Rd, Suite E, Santa Rosa, CA 95401 Phone: 707-525-0211 Fax: 707-525-0491 | |
Albert Haas Iii, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Christine Anne Royer, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 130 Stony Point Rd Ste E, Santa Rosa, CA 95401 Phone: 707-525-0211 | |
Juline Natalia Caraballo Fonseca, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 130 Stony Point Rd Ste E, Santa Rosa, CA 95401 Phone: 707-525-0211 Fax: 707-525-0491 |