Provider Demographics
NPI:1437243193
Name:KURTAS, KAREN (DC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KURTAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KURTAS
Other - Middle Name:
Other - Last Name:CHIROPRACTIC, P.C.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:202 VILLAGE OF ELAND
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:202 VILLAGE OF ELAND
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460
Practice Address - Country:US
Practice Address - Phone:610-933-2700
Practice Address - Fax:610-933-5990
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007263L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA042858Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
PA2420810000Medicare UPIN
PA1755005Medicare UPIN