Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25351 | NC |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 25351 | NC |
NPI | 1316984610 |
---|---|
Provider Name | Dr. Gary Robert Kuzma |
First Address | Charlotte, NC 28260-2658 |
Second Address | Greensboro, NC 27405-3633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 22/07/2020 |