Provider Demographics
NPI:1174793798
Name:KUREK, KYLE C (MD)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:C
Last Name:KUREK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:DEPT OF PATHOLOGY, CHILDREN'S HOSPITAL BOSTON
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-7431
Mailing Address - Fax:617-730-0207
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:DEPT OF PATHOLOGY, CHILDREN'S HOSPITAL BOSTON
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-7431
Practice Address - Fax:617-730-0207
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2023-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA231396207ZP0102X, 207ZP0213X
UT13328604-1205207ZP0213X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology