Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 0101251878 | VA |
N | 207W00000X | Ophthalmologist | 01054140A | IN |
NPI | 1043205271 |
---|---|
Provider Name | Daryl Edward Kurz |
First Address | Harrisonburg, VA 22801-3483 |
Second Address | Harrisonburg, VA 22801-3483 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 14/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200338430 | (05) | IN |
H55138 | (02) | IN |
P00467691 | MEDICARE RAILROAD (01) | IN |