Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD31607 | TN |
N | 207RH0002X | Hospice and Palliative Medicine | MD31607 | TN |
NPI | 1326079708 |
---|---|
Provider Name | Dr. Jenifer A Kurtz |
First Address | Knoxville, TN 37901-0391 |
Second Address | Knoxville, TN 37920-2806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 09/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3841490 | (05) | TN |
H07918 | (02) | TN |